Individual
CLIFFORD ISSACOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
126 E MAIN ST, SUITE 1, EAST ISLIP, NY 11730-2600
(631) 277-8367
(631) 277-3140
Mailing address
PO BOX 254, ISLIP TERRACE, NY 11752-0254
(631) 277-8367
(631) 277-3140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009286
NY
Other
Enumeration date
07/19/2006
Last updated
11/17/2010
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