Provider Demographics
NPI:1730461351
Name:OCEANSIDE PSYCHOLOGICAL SERVICES, PC
Entity Type:Organization
Organization Name:OCEANSIDE PSYCHOLOGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMAGNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:516-996-5746
Mailing Address - Street 1:266 LINKS DR W
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-5623
Mailing Address - Country:US
Mailing Address - Phone:516-996-5746
Mailing Address - Fax:
Practice Address - Street 1:266 LINKS DR W
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5623
Practice Address - Country:US
Practice Address - Phone:516-996-5746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-10
Last Update Date:2011-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty