Organization
ADELPHI UNIVERSITY
Active
Other names
Postgraduate Psychotherapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HERSKOVITS PSY.D. (DIRECTOR)
(516) 877-4841
Entity
Organization
Contact information
Practice address
158 CAMBRIDGE AVE, 325, GARDEN CITY, NY 11530-4235
(516) 877-4841
Mailing address
158 CAMBRIDGE AVE, 325, GARDEN CITY, NY 11530-4235
(516) 877-4841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP0814X
Psychoanalysis Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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