Individual
DR. PERYL AGISHTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
436 CENTRAL AVE, CEDARHURST, NY 11516-1928
(347) 566-1472
Mailing address
436 CENTRAL AVE, CEDARHURST, NY 11516-1928
(347) 566-1472
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
021473
NY
103TC0700X
Clinical Psychologist
021473
NY
Other
Enumeration date
11/24/2015
Last updated
02/06/2018
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