Jeena Elizabeth John, | |
75 N Country Rd, Port Jefferson, NY 11777-2119 | |
(631) 686-2517 | |
Not Available |
Full Name | Jeena Elizabeth John |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 75 N Country Rd, Port Jefferson, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093202871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 313571 (New York) | Primary |
Entity Name | John T Mather Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932296316 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Entity Name | Mccd Psychiatry Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20200121001374 |
Mailing Address | Practice Location Address |
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Jeena Elizabeth John, 75 N Country Rd, Port Jefferson, NY 11777-2190 Ph: () - | Jeena Elizabeth John, 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 686-2517 |
Dinesh Shukla, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 625 Belle Terre Rd, Suite 205, Port Jefferson, NY 11777 Phone: 631-331-0776 Fax: 631-473-4760 | |
Ryan Berry, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2518 | |
Sameh Wahba, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 60 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-0776 | |
Dr. Christopher M Sinclair, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 254 Windward Dr, Port Jefferson, NY 11777 Phone: 631-560-7290 | |
Paul Fritz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777 Phone: 631-928-3122 Fax: 631-928-3192 | |
Juliet A Nicolescu-nichols, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777 Phone: 631-928-3122 Fax: 631-928-3192 |