| Willo Wisotsky, Phd-psychologist, Pc | |
|
35 Crooked Hill Rd Ste 203 Commack NY 11725-5415 | |
| (631) 804-8830 | |
| Not Available |
| Full Name | Willo Wisotsky, Phd-psychologist, Pc |
|---|---|
| Speciality | Psychologist - Health |
| Location | 35 Crooked Hill Rd Ste 203, Commack, New York |
| Authorized Official Name and Position | Willo Wisotsky (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 6318048830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willo Wisotsky, Phd-psychologist, Pc 10 Folger Ln Dix Hills NY 11746-5805 Ph: (631) 804-8830 | Willo Wisotsky, Phd-psychologist, Pc 35 Crooked Hill Rd Ste 203 Commack NY 11725-5415 Ph: (631) 804-8830 |
| NPI Number | 1811280795 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811280795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 016173 (New York) | Secondary |
| 103TH0004X | Psychologist - Health | 016173 (New York) | Primary |
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