Individual
DR. JEREMY TIEGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
217 MERRICK RD, SUITE 103, AMITYVILLE, NY 11701-3449
(631) 264-0058
Mailing address
109 WINDSOR GATE DR, NEW HYDE PARK, NY 11040-1066
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016981
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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