| Advanced Psychological Assessment, P.c. | |
|
50 Karl Ave Suite 104 Smithtown NY 11787-2744 | |
| (631) 378-0741 | |
| Not Available |
| Full Name | Advanced Psychological Assessment, P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 50 Karl Ave, Smithtown, New York |
| Authorized Official Name and Position | Shahal Rozenblatt (PRESIDENT) |
| Authorized Official Contact | 6313780741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychological Assessment, P.c. 50 Karl Ave Suite 104 Smithtown NY 11787-2744 Ph: (631) 378-0741 | Advanced Psychological Assessment, P.c. 50 Karl Ave Suite 104 Smithtown NY 11787-2744 Ph: (631) 378-0741 |
| NPI Number | 1750417408 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/07/2007 |
| Medicare PECOS PAC ID | 2062516768 |
|---|---|
| Medicare Enrollment ID | O20070406000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750417408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 016095 (New York) | Primary |
| Provider Name | Shahal Rozenblatt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205837366 PECOS PAC ID: 0143220632 Enrollment ID: I20070111000245 |
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