Individual
DR. SHIRLEY DISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, NC-PSYA
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5619
Mailing address
PO BOX 140580, STATEN ISLAND, NY 10314-0580
(718) 954-5260
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
000927
NY
103T00000X
Psychologist
Primary
024355-01
NY
Other
Enumeration date
12/04/2014
Last updated
04/17/2025
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