BRIAN DAVID ELLISON

GREAT NECK, NY
NPI1851002067
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  025970)
Enumeration Date2022-12-08
Last Update Date2023-09-09
Business Address
Dr. BRIAN DAVID ELLISON Psy.D
935 NORTHERN BLVD STE 102
GREAT NECK, NY 11021-5309
Phone number: 516-487-7116
Mailing Address
Dr. BRIAN DAVID ELLISON Psy.D
17 RIVERDALE AVE
OAKDALE, NY 11769-1544
Phone number: 631-885-2738
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