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Individual

DR. SERGEI TSYTSAREV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2327 83RD ST, SUITE D, BROOKLYN, NY 11214-2750
(718) 236-0700
(718) 232-2625
Mailing address
2 RIDGE DR, GLEN COVE, NY 11542-3233
(516) 676-2525
(516) 676-2525

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
013502
NY
103TF0000X
Family Psychologist
Primary
013502
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01942841
NY
Enumeration date
01/19/2007
Last updated
02/26/2008
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