Individual
HAROLD S STULBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
423 FLORENCIA PL, MELVILLE, NY 11747-5298
(631) 424-5114
Mailing address
423 FLORENCIA PL, MELVILLE, NY 11747
(631) 424-5114
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002614
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00 667 134
—
NY
Enumeration date
06/11/2008
Last updated
06/11/2008
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