Individual
DR. NICOLE ALTSTATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
1111 ROUTE 25A, STONY BROOK, NY 11790-1907
(631) 988-1900
Mailing address
1111 ROUTE 25A, STONY BROOK, NY 11790-1907
(631) 988-1900
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
018896
NY
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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