Pediatric Psychology of New York, PLLC
Pediatric Psychology of New York, PLLC provides Clinical Psychologist services in Maspeth, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6083 71st StMaspeth, NY 11378-2913 Not confirmed with CMS for 14 years — call before visiting
Phone: (888) 342-6002
Fax: (347) 344-6594
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 018098 (NY) |
|---|
Record details
| NPI number | 1386910347 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Grudberg — Member · (888) 342-6002 |
| NPI enumerated | March 23, 2012 |
| Last updated in NPPES | March 23, 2012 |
| Mailing address | Po Box 604434, Bayside, NY 11360-4434 |
Other providers in Maspeth
-
Dr. Mark Vincent Grudberg, PHD
6083 71st St, Maspeth, NY 11378-2913 · (888) 342-6002