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Individual

DR. JOHN MICHAEL MCDONAGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2 CARNEGIE AVENUE, COLD SPRING HARBOR, NY 11724-2000
(631) 427-6902
(631) 427-6902
Mailing address
2 CARNEGIE AVENUE, COLD SPRING HARBOR, NY 11724-2000
(631) 427-6902
(631) 427-6902

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0047851
NY
103TC0700X
Clinical Psychologist
0047851
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00625269
NY
01
5838
AMER BOARD PROF PSYCHOLOG
Enumeration date
02/01/2007
Last updated
08/12/2010
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