Individual
DR. LYNDA HARRIS-BOSCAINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24 MALLORY RD, SPRING VALLEY, NY 10977-3118
(845) 352-7164
(845) 352-7164
Mailing address
24 MALLORY RD, SPRING VALLEY, NY 10977-3118
(845) 352-7164
(845) 352-7164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0117911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01426237
—
NY
Enumeration date
07/14/2005
Last updated
07/08/2007
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