| On Course Psychological Counseling P.c. | |
|
165 N Village Ave Ste 200 Rockville Centre NY 11570-3701 | |
| (516) 255-4100 | |
| (877) 728-0102 |
| Full Name | On Course Psychological Counseling P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 165 N Village Ave Ste 200, Rockville Centre, New York |
| Authorized Official Name and Position | Nicole Vanessa Daisy-etienne (PSYCHOLOGIST) |
| Authorized Official Contact | 5162554100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Course Psychological Counseling P.c. 165 N Village Ave Ste 200 Rockville Centre NY 11570-3701 Ph: (516) 255-4100 | On Course Psychological Counseling P.c. 165 N Village Ave Ste 200 Rockville Centre NY 11570-3701 Ph: (516) 255-4100 |
| NPI Number | 1356788749 |
|---|---|
| Provider Enumeration Date | 05/27/2013 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356788749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0176671 (New York) | Primary |
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