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1336794742
TIRRELL DE GANNES
HICKSVILLE, NY
NPI
1336794742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 1629175039)
Enumeration Date
2019-08-03
Last Update Date
2019-08-03
Business Address
Dr. TIRRELL DE GANNES Psy.D.
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801-3500
Phone number: 516-818-8383
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Mailing Address
Dr. TIRRELL DE GANNES Psy.D.
10750 164TH ST
JAMAICA, NY 11433-2435
Phone number: 718-564-3879
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