Organization
FORENSIC PSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A JANOSON PH.D. (PRESIDENT)
(516) 304-5700
Entity
Organization
Contact information
Practice address
75 PLANDOME RD, 2ND FLOOR, MANHASSET, NY 11030-2301
(516) 304-5700
(516) 304-5702
Mailing address
75 PLANDOME RD, 2ND FLOOR, MANHASSET, NY 11030-2301
(516) 304-5700
(516) 304-5702
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
006325
NY
103TC0700X
Clinical Psychologist
006325
NY
103TC1900X
Counseling Psychologist
Primary
006325
NY
103TF0200X
Forensic Psychologist
006325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006325
LICENSED PSYCHOLOGIST
NY
Enumeration date
01/06/2009
Last updated
01/06/2009
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