| Brian Ghezelaiagh, Md, Pc | |
|
2500 Nesconset Hwy Bldg 17c Stony Brook NY 11790-2563 | |
| (631) 210-6305 | |
| (631) 292-7376 |
| Full Name | Brian Ghezelaiagh, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2500 Nesconset Hwy Bldg 17c, Stony Brook, New York |
| Authorized Official Name and Position | Brian Ghezelaiagh (OWNER) |
| Authorized Official Contact | 6312106305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Ghezelaiagh, Md, Pc 2500 Nesconset Hwy Bldg 17c Stony Brook NY 11790-2563 Ph: (631) 210-6305 | Brian Ghezelaiagh, Md, Pc 2500 Nesconset Hwy Bldg 17c Stony Brook NY 11790-2563 Ph: (631) 210-6305 |
| NPI Number | 1659140747 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Medicare PECOS PAC ID | 6002258746 |
|---|---|
| Medicare Enrollment ID | O20240524003338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659140747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Brian Ghezelaiagh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033616206 PECOS PAC ID: 1052793841 Enrollment ID: I20240524003367 |
George G. Fairey Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N Country Rd Ste 2a, Stony Brook, NY 11790 Phone: 631-689-5155 | |
John G. Cottone, Psychologist, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1099 N Country Rd, Suite L, Stony Brook, NY 11790 Phone: 631-941-2210 Fax: 631-941-2210 | |
Department Of Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794 Phone: 631-444-2599 Fax: 631-444-4743 | |
Michael L Nissnbaum, Ph.d., Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4 Coed Ln, Stony Brook, NY 11790 Phone: 631-737-9500 Fax: 631-737-9512 | |
Corina Segal Mental Health Counseling, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy Bldg 4b, Stony Brook, NY 11790 Phone: 631-903-1087 | |
Ryan L Clements Psy.d. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 N Country Rd, Unit L, Stony Brook, NY 11790 Phone: 631-941-2210 | |
Brett M. Liquori, Licensed Psychologist, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Westwood Ave, Stony Brook, NY 11790 Phone: 631-444-5354 Fax: 631-444-5354 |