Individual
DR. ALVIN B PITKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
788 FRANKLIN AVE, VALLEY STREAM, NY 11580-1502
(516) 459-2990
Mailing address
PO BOX 314, OLD WESTBURY, NY 11568-0314
(516) 459-2990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022078
GHI
NY
01
—
055771
VALUE OPTIONS
NY
Enumeration date
01/08/2007
Last updated
07/08/2007
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