Individual
DR. DOV NEIDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2850 N JERUSALEM RD, WANTAGH, NY 11793-1125
(516) 396-2900
Mailing address
9 EDNA LN, COMMACK, NY 11725-2507
(631) 864-1175
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010660-1
NY
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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