Individual
DAVID STEVEN CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
998 CROOKED HILL RD, BUILDING 56, BRENTWOOD, NY 11717-1019
(631) 761-2871
Mailing address
998 CROOKED HILL RD, BUILDING 56, BRENTWOOD, NY 11717-1019
(631) 761-2871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014552
NY
283Q00000X
Psychiatric Hospital
014552
NY
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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