DR. GABRIELLE LOFASO, PSY.D., PC
Agencies in Prt Jefferson Station, NY

License number
New York 013610
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. GABRIELLE LOFASO PSY.D., PC
Title: PSYCHOLOGIST
Phone: (631) 331-9083
Address
Address
1000 Main Sreet, Prt Jefferson Station, NY 11777
National Provider ID: 1144629585
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. GABRIELLE LOFASO, PSY.D., PC

28 Clb Rd, Port Jefferson, NY 11777

Registration:
Apr 16, 2014
State ID:
4562888
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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