Provider Demographics
NPI:1972217339
Name:DR LESSANS PSYCHOLOGY PC
Entity type:Organization
Organization Name:DR LESSANS PSYCHOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSANS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-996-3310
Mailing Address - Street 1:1 HILLDALE LN
Mailing Address - Street 2:
Mailing Address - City:SANDS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11050
Mailing Address - Country:US
Mailing Address - Phone:516-996-3310
Mailing Address - Fax:
Practice Address - Street 1:1025 NORTHERN BLVD.
Practice Address - Street 2:SUITE 95
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576
Practice Address - Country:US
Practice Address - Phone:516-996-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty