Healthcare Provider Details

I. General information

NPI: 1861321515
Provider Name (Legal Business Name): DIAGNOSTIC PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 ELM ST
WEST HEMPSTEAD NY
11552-3222
US

IV. Provider business mailing address

171 KINGS HWY
BROOKLYN NY
11223-1023
US

V. Phone/Fax

Practice location:
  • Phone: 516-507-0134
  • Fax:
Mailing address:
  • Phone: 516-507-0134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DOV SNOW
Title or Position: MANAGER
Credential: PHD
Phone: 516-507-0134