Individual
DR. ANTHONY JOHN PAVLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4331 45TH ST APT 3J, SUNNYSIDE, NY 11104-2347
(347) 871-1104
Mailing address
4331 45TH ST APT 3J, SUNNYSIDE, NY 11104-2347
(347) 871-1104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025509
NY
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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