Individual
DR. MICHAEL NETTIS-BENSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
290 BIRCHWOOD PARK DR, JERICHO, NY 11753-2307
(516) 376-1417
Mailing address
290 BIRCHWOOD PARK DR, JERICHO, NY 11753-2307
(516) 376-1417
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025656
NY
Other
Enumeration date
08/19/2021
Last updated
12/18/2024
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