Individual
DR. GREGORY DANIEL HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
627 BROADWAY STE 200, MASSAPEQUA, NY 11758-5031
(516) 551-8655
Mailing address
320 1ST AVE, MASSAPEQUA PARK, NY 11762-1849
(516) 551-8655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018419
NY
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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