Individual
DR. MARK GREGORY WINIARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
51 RADNOR RD, GREAT NECK, NY 11023-1450
(516) 319-6830
Mailing address
51 RADNOR RD, GREAT NECK, NY 11023-1450
(516) 319-6830
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009774
NY
103TC0700X
Clinical Psychologist
009774
NY
103TH0004X
Health Psychologist
009774
NY
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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