Individual provider · NPI-1

Laura Derubeis-Byrne

Psychologist, Clinical · Astoria, NY

NPI number1700420064
StatusActive
Last updated in NPPESOct 30, 2019

Details

NPI
1700420064
Entity type
Individual (NPI-1)
Name
Laura Derubeis-Byrne
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2019
Last updated
Oct 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalP103209NYYes

Practice location

3123 47th St Apt 2e
Astoria, NY 11103-1614

Phone 610-308-2908

Mailing address

3123 47th St Apt 2e
Astoria, NY 11103-1614

Phone 610-308-2908

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