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Individual

DR. MARLENE NOUMOFF KASMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
163 TOWN LINE RD, EAST NORTHPORT, NY 11731-3916
(631) 368-5566
(631) 368-1934
Mailing address
163 TOWN LINE RD, EAST NORTHPORT, NY 11731-3916
(631) 368-5566
(631) 368-1934

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3404
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0055961
GHI
NY
01
027126
VALUE OPTIONS, INC
NY
Enumeration date
08/18/2006
Last updated
07/08/2007
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