Organization
JULIAN M. HERSKOWITZ PH.D., PSYCHOLOGIST, P.C.
Active
Other names
TERRAP ANXIETY AND PHOBIACARE
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN M. HERSKOWITZ PH.D. (DIRECTOR)
(631) 549-8867
Entity
Organization
Contact information
Practice address
755 PARK AVE, SUITE 140, HUNTINGTON, NY 11743-3975
(631) 549-8867
(631) 423-8446
Mailing address
755 PARK AVE, SUITE 140, HUNTINGTON, NY 11743-3975
(631) 549-8867
(631) 423-8446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811263429
MEDICARE NPI
NY
01
—
A100066565
MEDICARE P-TAN
NY
Enumeration date
03/28/2012
Last updated
04/23/2013
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