Individual
DR. MARK S. CLOSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
601 FRANKLIN AVE STE 200, GARDEN CITY, NY 11530-5760
(516) 669-0135
(631) 754-1642
Mailing address
601 FRANKLIN AVE STE 200, GARDEN CITY, NY 11530-5760
(516) 669-0135
(631) 754-1642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019356
NY
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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