Individual
MARC A JANOSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
75 PLANDOME RD, MANHASSET, NY 11030-2303
(516) 304-5700
(516) 304-5702
Mailing address
75 PLANDOME RD, MANHASSET, NY 11030-2303
(516) 304-5700
(516) 304-5702
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
006325
NY
103TC0700X
Clinical Psychologist
006325
NY
103TC1900X
Counseling Psychologist
Primary
006325
NY
103TF0200X
Forensic Psychologist
006325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00432568
—
NY
01
—
006325
LICENSED PSYCHOLOGIST
NY
Enumeration date
04/09/2008
Last updated
04/13/2018
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