Dr. Gabrielle Lofaso, Psy.d., Pc

NPI 1144629585 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1144629585
Enumeration Date 08/21/2014
Last Updated 08/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GABRIELLE GABRIELLE
Position PSYCHOLOGIST
Phone (631) 331-9083
Fax
Practice Location
1000 MAIN SREET
PORT JEFFERSON NY, 11777, US
Phone (631) 331-9083
Fax
Business Location
655 BELLE TERRE RD
APT #30
PORT JEFFERSON NY, 11777-1960, US
Phone (631) 331-9083
Fax
Toxanomy
Taxonomy Code 251S00000X
License State New York
License Number 013610
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According to our database, Dr. Gabrielle Lofaso, Psy.d., Pc NPI is 1144629585, taxonomy code is 251S00000X and license number is 013610, license state is located at New York. Dr. Gabrielle Lofaso, Psy.d., Pc physically located at 1000 Main Sreet, Port Jefferson NY, 11777. NPI Number 1033115704 has the healthcare provider type.

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1144629585 NPI number is provided on an as is basis without warranty of any kind. 1144629585 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Gabrielle Lofaso, Psy.d., Pc are for informational purposes only.