Organization
SUPPORTIVE CARE I OF RHODE ISLAND PC
Active
Organization
SUPPORTIVE CARE I OF RHODE ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV NEWMARK (PRESIDENT)
(718) 298-4375
Entity
Organization
Contact information
Practice address
17 ADELPHI AVE, PROVIDENCE, RI 02906-4119
(718) 298-4375
Mailing address
27 RANDOLPH RD, HOWELL, NJ 07731-8611
(718) 298-4375
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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