Individual
DR. EDWARD JOHN BARNOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
77 MEDFORD AVE STE D, PATCHOGUE, NY 11772-1230
(631) 366-3369
(631) 366-3369
Mailing address
77 MEDFORD AVE STE D, PATCHOGUE, NY 11772-1230
(631) 366-3369
(631) 366-2043
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
011687-1
NY
103TC0700X
Clinical Psychologist
011687-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01503557
—
NY
Enumeration date
07/11/2006
Last updated
10/20/2011
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