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Organization

DLZ GERIATRIC PSYCHOLOGICAL SERVICES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DOROTHY PAULA LATELLA-ZKHIREH (PSYCHOLOGIST)
(718) 268-6600
Entity
Organization

Contact information

Practice address
11835 QUEENS BLVD, SUITE 1403, FOREST HILLS, NY 11375-7200
(718) 268-6600
(718) 268-6065
Mailing address
11835 QUEENS BLVD, FOREST HILLS, NY 11375-7200
(718) 268-6600
(718) 268-6065

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017489
PA

Other

Enumeration date
12/24/2013
Last updated
12/24/2013
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