Individual
MS. JEAN CIRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
27 FAIRVIEW ST, HUNTINGTON, NY 11743-3413
(516) 532-3625
Mailing address
27 FAIRVIEW ST, HUNTINGTON, NY 11743-3413
(516) 532-3625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069720
GROUP HEALTH INSURABCE
NY
01
—
CS096
OXFORD HEALTH PLANS
NY
Enumeration date
11/07/2006
Last updated
07/08/2007
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