Individual
MARLAENA CORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
555 BROADHOLLOW RD, SUITE 202, MELVILLE, NY 11747-5078
(631) 512-2497
(631) 512-2497
Mailing address
555 BROADHOLLOW RD, SUITE 202, MELVILLE, NY 11747-5078
(631) 512-2497
(631) 512-2497
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P70970
NY
Other
Enumeration date
09/11/2009
Last updated
10/31/2011
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