Individual
DR. MICHAEL J SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
49 FAWN WAY, LONG LAKE, NY 12847-0130
(518) 624-3346
(518) 624-5557
Mailing address
PO BOX 130, LONG LAKE, NY 12847-0130
(518) 624-3346
(518) 624-5557
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
013837
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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