Individual
DR. GENNARO MATTHEW DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2001 MARCUS AVE STE W260, NEW HYDE PARK, NY 11042-1071
(516) 465-5255
Mailing address
2001 MARCUS AVE STE W260, NEW HYDE PARK, NY 11042-1071
(516) 465-5255
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
023690
NY
Other
Enumeration date
04/19/2013
Last updated
04/10/2023
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