Individual
DORIS PU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4339
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4339
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025805
NY
Other
Enumeration date
06/28/2021
Last updated
09/05/2023
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