Individual
DR. JOSEPH PETER SHAFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1441 OLD NORTHERN BLVD, ROSLYN, NY 11576-2146
(516) 625-6846
(516) 625-6849
Mailing address
4 KALMIA ST, EAST NORTHPORT, NY 11731-1213
(631) 912-9133
(631) 912-9133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013491
NY
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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