Individual
DR. JARED ROSS ZUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
93 CAROLE CT, APARTMENT 2B, MASSAPEQUA, NY 11758-5634
(516) 312-1905
Mailing address
93 CAROLE CT, APARTMENT 2B, MASSAPEQUA, NY 11758-5634
(516) 312-1905
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
019147
NY
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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