Little Penguin
Little Penguin is a Group Psychotherapy Psychologist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
48 Blueberry LnStaten Island, NY 10312
Phone: (718) 967-1585
Fax: (718) 967-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Group Psychotherapy Psychologist (primary) | Taxonomy 103TP2701X · Licence R065562 (NY) |
|---|
Record details
| NPI number | 1720268451 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Boris Mirochnik — Director Psychologist · (718) 967-1585 |
| NPI enumerated | November 9, 2007 |
| Last updated in NPPES | November 9, 2007 |
| Mailing address | 48 Blueberry Lane, State Island, NY 10312 |