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Doctors / NY
CLINICAL PSYCHOLOGIST
Medical school: FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1053008102
2758 MIDDLE COUNTRY RD
LAKE GROVE, NY 117552118
50 WATER ST, 3RD FL
NEW YORK, NY 100046013
Source: CMS National Downloadable File, September 2026.