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NPI 1144629585

NPI 1144629585 : DR. GABRIELLE MCANDREWS, PSY.D., PC : PORT JEFFERSON, NY

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General NPI Number Information
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    NPI Number           |    1144629585
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. GABRIELLE MCANDREWS, PSY.D., PC 
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Dates
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    Enumeration Date     |    08/21/2014
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    Last Update Date     |    10/19/2025
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Provider Practice Location Address
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    Address Line         |    20 CROOKED OAK RD 
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    City                 |    PORT JEFFERSON
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    State                |    NY
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    Zip                  |    11777-1120
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    Country              |    US
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    Telephone            |    631-331-9083
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    Fax                  |    631-331-9083
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Provider Business Mailing Address
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    Address Line         |    20 CROOKED OAK RD 
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    City                 |    PORT JEFFERSON
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    State                |    NY
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    Zip                  |    11777-1120
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    Country              |    US
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    Telephone            |    631-331-9083
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    Fax                  |    631-331-9083
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. GABRIELLE  MCANDREWS 
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    Credential           |    PSY.D.
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    Telephone            |    631-331-9083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    013610
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    License Number State |    NY
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