Individual
ELAINE LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
17900 LINDEN BLVD, JAMAICA, NY 11434-1468
(718) 526-1000
Mailing address
800 POLY PL RM 14-201, BROOKLYN, NY 11209-7104
(718) 526-1000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023505
NY
Other
Enumeration date
09/11/2018
Last updated
01/15/2020
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