Individual
DR. NITSANA MOYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
965 WILLOWBROOK RD, STATEN ISLAND, NY 10314-4271
(718) 702-2938
Mailing address
965 WILLOWBROOK RD, STATEN ISLAND, NY 10314-4271
(718) 702-2938
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019450-1
NY
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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