Organization
WILLO WISOTSKY, PHD-PSYCHOLOGIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLO WISOTSKY PH.D. (PSYCHOLOGIST/PRESIDENT)
(631) 804-8830
Entity
Organization
Contact information
Practice address
35 CROOKED HILL RD STE 203, COMMACK, NY 11725-5415
(631) 804-8830
Mailing address
10 FOLGER LN, DIX HILLS, NY 11746-5805
(631) 804-8830
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
016173
NY
103TH0004X
Health Psychologist
Primary
016173
NY
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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