Individual
DR. ANTHONY THOMAS PROCACCINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 DONAHUE AVE. NUMBER TWO ELEMENTARY SCHOOL, LAWRENCE PUBLIC SCHOOLS, INWOOD, NY 11096
(516) 295-6212
(516) 295-6213
Mailing address
1 DONAHUE AVE. NUMBER TWO ELEMENTARY SCHOOL, LAWRENCE PUBLIC SCHOOLS, INWOOD, NY 11096
(516) 295-6212
(516) 295-6213
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
014013
NY
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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