Individual
DR. JAMES CONSORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.,
Contact information
Practice address
10 DAVID CT, HUNTINGTON STATION, NY 11746-1155
(631) 421-1379
(631) 421-1379
Mailing address
10 DAVID CT, HUNTINGTON STATION, NY 11746-1155
(631) 421-1379
(631) 421-1379
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9493-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038205
GHI
NY
01
—
077646
VALUE OPTIONS
NY
01
—
205280
UNITED BEHAVIORAL HEALTH
NY
01
—
S09493-8
WORKERS COMPENSATION
NY
Enumeration date
04/04/2007
Last updated
07/08/2007
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