New York State Neuropsychological State of Mind PC

NPI #1013414705 in Kew Gardens, New York

Provider Information

NPI Number
1013414705
Entity Type
Organization
Organization Name
New York State Neuropsychological State of Mind PC
Primary Specialty
Clinical Neuropsychologist
Enumeration Date
Apr 9, 2018
Last Updated
Apr 9, 2018

Practice Location

Address
8460 123RD ST
ZIP Code
11415-3305
Phone
(718) 441-0166

Authorized Official

Name
SANAM HAFEEZ
Title
PSY.D
Phone
(718) 441-0166

Specialties & Taxonomy Codes

Specialty
Clinical Neuropsychologist

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