Dr Richard J Dackow Psychology Services | |
15 Donald St Eastport NY 11941-1401 | |
(516) 330-4545 | |
(516) 654-8870 |
Full Name | Dr Richard J Dackow Psychology Services |
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Speciality | Psychologist - Clinical |
Location | 15 Donald St, Eastport, New York |
Authorized Official Name and Position | Linda Dackow (OFFICE MANAGER) |
Authorized Official Contact | 6312884488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Richard J Dackow Psychology Services 15 Donald St Eastport NY 11941-1401 Ph: (516) 330-4545 | Dr Richard J Dackow Psychology Services 15 Donald St Eastport NY 11941-1401 Ph: (516) 330-4545 |
NPI Number | 1962052589 |
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Provider Enumeration Date | 09/16/2019 |
Last Update Date | 01/22/2023 |
Certification Date | 01/22/2023 |
Identifier | Type | State | Issuer |
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1962052589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |