Individual
DR. RAYMOND S DIMETROSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.ED.
Contact information
Practice address
4 SILVERLEAF CT, RIVERDALE, NJ 07457-1041
(201) 666-2949
Mailing address
4 SILVERLEAF CT, RIVERDALE, NJ 07457-1041
(201) 666-2949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2159
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159
NJ LICENSE NUMBER
NJ
Enumeration date
09/15/2006
Last updated
05/31/2023
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