Healthcare Provider Details

I. General information

NPI: 1750763538
Provider Name (Legal Business Name): NASSAU PSYCHOLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 SUNRISE HWY STE 200
LYNBROOK NY
11563-2950
US

IV. Provider business mailing address

123 GROVE AVE STE 216
CEDARHURST NY
11516-2302
US

V. Phone/Fax

Practice location:
  • Phone: 516-350-8564
  • Fax:
Mailing address:
  • Phone: 516-350-8564
  • Fax: 516-874-2477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number020036
License Number StateNY

VIII. Authorized Official

Name: DOV FINMAN
Title or Position: PRESIDENT
Credential:
Phone: 516-350-8564