Individual
DR. CHERYL S. CHITAYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
358 VETERANS MEMORIAL HWY., SUITE 12, COMMACK, NY 11725-4332
(631) 864-5535
Mailing address
358 VETERANS MEMORIAL HWY., SUITE 12, COMMACK, NY 11725-4332
(631) 864-5535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
009723
NY
103TC0700X
Clinical Psychologist
Primary
009723
NY
103TC2200X
Clinical Child & Adolescent Psychologist
009723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S09723-8
WCB#
NY
Enumeration date
05/02/2007
Last updated
02/23/2018
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