Individual
DR. JOAN D ADICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
58 TAIN DR, GREAT NECK, NY 11021-4435
(516) 829-2332
Mailing address
201 I U WILLETS RD, ALBERTSON, NY 11507-1516
(516) 465-1687
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012324-1
NY
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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