Individual
DR. GERARD THOMAS MCNICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3760 EXPRESSWAY DR S FL 1, ISLANDIA, NY 11749-5522
(516) 302-7599
Mailing address
3760 EXPRESSWAY DR S FL 1, ISLANDIA, NY 11749-5522
(516) 302-7599
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023665
NY
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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