Organization
AMERICAN THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFER ZYSMAN (MBR)
(631) 647-7885
Entity
Organization
Contact information
Practice address
1840 UNION BLVD, BAY SHORE, NY 11706-7932
(631) 647-7893
Mailing address
1840 UNION BLVD, BAY SHORE, NY 11706-7932
(631) 647-7893
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010404-1
NY
1041C0700X
Clinical Social Worker
025669
NY
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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