Individual
DR. MARY JOSEPH KOLLAPPALLIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
15011 HILLSIDE AVE, 2ND FLOOR, JAMAICA, NY 11432-3319
(718) 739-5778
(718) 523-2728
Mailing address
15011 HILLSIDE AVE, 2ND FLOOR, JAMAICA, NY 11432-3319
(718) 739-5778
(718) 523-2728
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017693
NY
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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