Individual
LAURA DERUBEIS-BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3123 47TH ST APT 2E, ASTORIA, NY 11103-1614
(610) 308-2908
Mailing address
3123 47TH ST APT 2E, ASTORIA, NY 11103-1614
(610) 308-2908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P103209
NY
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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