Individual
JOANNA MARIE NEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
790 NEW YORK AVENUE, HUNTINGTON, NY 11743
(631) 796-4784
Mailing address
16 PEARWOOD DRIVE, HUNTINGTON STATION, NY 11746-1319
(631) 796-4784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0150811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02637194
—
NY
Enumeration date
08/03/2006
Last updated
07/07/2008
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