DR. Mansour (max) Banilivy, PH.D.

NPI #1023026754 in Merrick, New York

Provider Information

NPI Number
1023026754
Entity Type
Individual
Name
DR. Mansour (max) Banilivy, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Aug 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2615 MERRICK AVE
ZIP Code
11566-4622
Phone
(516) 627-9432

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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