Organization
DALLET PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULIYA VAYNRUB (MANAGER)
(917) 657-0290
Entity
Organization
Contact information
Practice address
821 NEWBURG AVE, VALLEY STREAM, NY 11581-3107
(917) 657-0290
Mailing address
821 NEWBURG AVE, VALLEY STREAM, NY 11581-3107
(917) 657-0290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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