Individual
AVI AVIGDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
8659 SANCHO ST, HOLLIS, NY 11423-1223
(267) 333-1001
Mailing address
8659 SANCHO ST, HOLLIS, NY 11423-1223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020029
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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