Organization
ROSS LYNN TABISEL, LCSW, PH.D, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS LYNN TABISEL LCSW, PH.D (OWNER/PRESIDENT)
(516) 576-1118
Entity
Organization
Contact information
Practice address
54 SUNNYSIDE BLVD STE A, PLAINVIEW, NY 11803-1517
(516) 576-1118
(516) 576-8876
Mailing address
54 SUNNYSIDE BLVD STE A, PLAINVIEW, NY 11803-1517
(516) 576-1118
(516) 576-8876
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
R013521-1
NY
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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