Provider Demographics
NPI:1356162036
Name:TOLCHIN PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:TOLCHIN PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELISIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-651-1492
Mailing Address - Street 1:165 PASSAIC AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004
Mailing Address - Country:US
Mailing Address - Phone:800-413-8020
Mailing Address - Fax:
Practice Address - Street 1:330 MOTOR PARKWAY
Practice Address - Street 2:SUITE 204
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:800-413-8020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty