Individual
DR. KENNETH MARK SOSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007858
NY
103TC0700X
Clinical Psychologist
007858
NY
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007858
NYS LICENSED PSYCHOLOGIST
NY
Enumeration date
08/04/2017
Last updated
08/04/2017
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