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Individual

ROBERT KUISIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
128 BRIDGEHAMPTON-SAG HARBOR TURNPIKE, OFFICE C, BRIDGEHAMPTON, NY 11932-2065
(631) 907-0549
Mailing address
PO BOX 2065, 128 BRIDGEHAMPTON-SAG HARBOR TURNPIKE, BRIDGEHAMPTON, NY 11932-2065
(631) 907-0539

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8418
NY

Other

Enumeration date
09/24/2006
Last updated
12/17/2013
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