Organization
MANHASSET PSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JANOSON (PRESIDENT)
(516) 304-5700
Entity
Organization
Contact information
Practice address
75 PLANDOME RD, MANHASSET, NY 11030-2303
(516) 304-5700
(516) 304-5702
Mailing address
75 PLANDOME RD, MANHASSET, NY 11030-2303
(516) 304-5700
(516) 304-5702
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
006325-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
006325-1
NY
103TC0700X
Clinical Psychologist
006325-1
NY
103TF0200X
Forensic Psychologist
006325-1
NY
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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