Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 015391-1 | NY |
NPI | 1316955545 |
---|---|
Provider Name | Dr. Felicity Lindsay Laboy |
First Address | New York, NY 10040-1010 |
Second Address | Bronx, NY 10468-3904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |