Organization
COMPREHENSIVE PSYCHOLOGICAL SERVICES OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULIYA VAYNRUB (MANAGER)
(917) 657-0290
Entity
Organization
Contact information
Practice address
853 TALBOT AVE, VALLEY STREAM, NY 11581
(917) 657-0290
Mailing address
853 TALBOT AVE, VALLEY STREAM, NY 11581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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