Organization
R.G. PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY LABRUZZO (ADMINISTRATIVE DIRECTOR)
(800) 725-6280
Entity
Organization
Contact information
Practice address
303 MERRICK RD, SUITE 204, LYNBROOK, NY 11563-2501
(800) 725-6280
(800) 725-6380
Mailing address
303 MERRICK RD, SUITE 204, LYNBROOK, NY 11563-2501
(800) 725-6280
(800) 725-6380
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01615874
—
NY
Enumeration date
05/09/2006
Last updated
08/29/2013
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