Individual
MICHAEL S. PREZIOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(800) 275-3671
Mailing address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(800) 275-3671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02839485
—
NY
Enumeration date
01/10/2007
Last updated
03/25/2008
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