Organization
DR. CLIFFORD ISSACOFF CLINICAL PSYCHOLOGIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD ISSACOFF PHD (OWNER)
(631) 277-8367
Entity
Organization
Contact information
Practice address
126 E MAIN ST, EAST ISLIP, NY 11730-2600
(631) 277-8367
Mailing address
PO BOX 254, ISLIP TERRACE, NY 11752-0254
(631) 277-8367
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009286
NY
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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