Individual
DR. ROSAMOND GIANUTSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3825 52ND ST, SUNNYSIDE, NY 11104-1027
(718) 457-7483
Mailing address
3825 52ND ST, SUNNYSIDE, NY 11104-1027
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
004976
NY
103T00000X
Psychologist
004976
NY
103TR0400X
Rehabilitation Psychologist
004976
NY
Other
Enumeration date
03/30/2007
Last updated
04/03/2008
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