Individual
DR. LEAH PEARL SISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7559 263RD ST, AMBULATORY CARE PAVILION, GLEN OAKS, NY 11004-1150
(718) 470-4696
(718) 962-7712
Mailing address
20 MARINO AVE, PORT WASHINGTON, NY 11050-4208
(516) 883-3361
(718) 962-7712
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
013566-1
NY
Other
Enumeration date
05/09/2007
Last updated
07/19/2012
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