Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1003050931 |
---|---|
Provider Name | Mrs. Hillary Berkowitz |
First Address | Commack, NY 11725-5612 |
Second Address | Commack, NY 11725-5612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2009 |
Last Update Date | 22/04/2009 |