Individual
DAISY EDMONDSON ALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10923 71ST RD, APARTMENT 1H, FOREST HILLS, NY 11375-4849
(718) 986-5258
Mailing address
154 SLOCUM CRES, FOREST HILLS, NY 11375-5248
(718) 986-5258
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015375
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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