Provider Demographics
NPI:1255162822
Name:DGE PSYCHOLOGICAL SERVICES P.C.
Entity type:Organization
Organization Name:DGE PSYCHOLOGICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DR. VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-606-1008
Mailing Address - Street 1:362 DEVOE AVE UNIT 473
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-9448
Mailing Address - Country:US
Mailing Address - Phone:914-269-8882
Mailing Address - Fax:
Practice Address - Street 1:362 DEVOE AVE UNIT 473
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-9448
Practice Address - Country:US
Practice Address - Phone:914-269-8882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1750856506OtherN/A