Individual
MS. LINDA INTRANUOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
775 PARK AVE, SUITE 110, HUNTINGTON, NY 11743-3976
(516) 822-0622
Mailing address
775 PARK AVE, SUITE 110, HUNTINGTON, NY 11743-3976
(516) 822-0622
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013071-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06800013071
—
NY
Enumeration date
10/18/2006
Last updated
07/08/2007
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