Mark Lederway PH.D.

NPI 1003954470 - Psychologist - 103TC0700X

NPI Details
NPI 1003954470
Gender Male
Enumeration Date 02/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
325 E MAIN ST
SMITHTOWN NY, 11787-2922, US
Phone (631) 979-0965
Fax
Business Location
325 E MAIN ST
SMITHTOWN NY, 11787-2922, US
Phone (631) 979-0965
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 005384
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According to our database, Dr. Mark Lederway PH.D. NPI is 1003954470, taxonomy code is 103TC0700X and license number is 005384, license state is located at New York. Mark Lederway PH.D. physically located at 325 E Main St, Smithtown NY, 11787-2922. NPI Number Mark Lederway PH.D. has the Individual type.

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1003954470 NPI number is provided on an as is basis without warranty of any kind. 1003954470 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Lederway PH.D. are for informational purposes only.