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Individual

DR. CHARLES S RAPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
256 MAIN ST, ROOM 205, NORTHPORT, NY 11768-1733
(631) 757-5115
(631) 757-5115
Mailing address
107 BAYVIEW AVE, NORTHPORT, NY 11768-1510
(631) 869-5625
(631) 757-5115

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005732
NY

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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