Organization
J ROBERT QUILTY PHD PSYCHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT QUILTY PH.D. (PSYCHOLOGIST)
(631) 751-4873
Entity
Organization
Contact information
Practice address
139 MAIN STREET, STONY BROOK, NY 11790-0304
(631) 751-4873
(631) 473-8282
Mailing address
PO BOX 304, STONY BROOK, NY 11790-0304
(631) 751-4873
(631) 473-8282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010801
NY
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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