Individual
DR. MARK STEVEN ELUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
233 UNION AVE, SUITE 101, HOLBROOK, NY 11741-1813
(631) 736-8815
Mailing address
233 UNION AVE, SUITE 101, HOLBROOK, NY 11741-1820
(631) 736-8815
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68 006936
NY
Other
Enumeration date
07/19/2007
Last updated
11/16/2011
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