Individual
DR. JENNIFER ATENCIO-BACAYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
75 PLANDOME RD, MANHASSET, NY 11030-2303
(917) 226-3391
Mailing address
2296 PLYMOUTH PL, EAST MEADOW, NY 11554-1229
(917) 226-3391
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019095
NY
Other
Enumeration date
06/28/2011
Last updated
05/15/2014
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