Most Relevant Information
Provider Data
| NPI Number: | 1003836172 |
| Provider Name: | MARVIN ZEV DELUTY PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 008155 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
16604 JEWEL AVE
FLUSHING
NY
113653234
Practice Location Phone/Fax
| Phone: | 7183808434 |
| Fax: |
Provider Mailing Location
16604 JEWEL AVE
FLUSHING
NY
113653234
Provider Mailing Phone/Fax
| Phone: | 7183808434 |
| Fax: |