| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 01/22/2023 |
| Certification Date | 01/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962052589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |