MANSOUR (MAX) BANILIVY

MERRICK, NY
NPI1023026754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  007526)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Dr. MANSOUR (MAX) BANILIVY Ph.D.
2615 MERRICK AVE
MERRICK, NY 11566-4622
Phone number: 516-627-9432
Mailing Address
Dr. MANSOUR (MAX) BANILIVY Ph.D.
2615 MERRICK AVE
MERRICK, NY 11566-4622
Phone number: 516-627-9432
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