Individual
JOHN ATSIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
114 BAYVILLE AVE, BAYVILLE, NY 11709-1606
(718) 612-0136
Mailing address
114 BAYVILLE AVE, BAYVILLE, NY 11709-1606
(516) 584-6661
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1222267
NY
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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