Individual
STEVEN GIDSEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
189 WHEATLEY ROAD, BROOKVILLE, NY 11545
(516) 626-1075
Mailing address
189 WHEATLEY ROAD, BROOKVILLE, NY 11545
(516) 626-1075
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1086597
NY
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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