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19 Ernest Ct Kings Park NY 11754-5020 | |
| (516) 689-7455 | |
| (516) 687-2444 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 19 Ernest Ct, Kings Park, New York |
| Authorized Official Name and Position | Marie Virgine Aristilde (PSYCHOLOGIST) |
| Authorized Official Contact | 5166897455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
19 Ernest Ct Kings Park NY 11754-5020 Ph: (516) 689-7455 | 19 Ernest Ct Kings Park NY 11754-5020 Ph: (516) 689-7455 |
| NPI Number | 1104634708 |
|---|---|
| Provider Enumeration Date | 12/28/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104634708 | NPI | - | NPPES |
| 06799742 | Medicaid | NY |
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