Doctor Name: | DR. AMY GAWRYCH |
NPI Number: | 1134475205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 019572 |
Business Practice Address: | 73 Deer Park Ave Suite 4 Babylon, NY - 117022833 |
Business Phone Number: | 6313217107 |
Business Fax Number: | 6313217108 |
Mailing Address: | 73 Deer Park Ave, Suite 4 BABYLON |
State: | NY |
Postal Code: | 117022833 |
Phone Number: | 6313217107 |
Fax Number: | 6313217108 |
NPI Enumeration Date: | 07/26/2012 |
NPI Last Update Date: | 07/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 019572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |