| Commack Consultation Center | |
|
66 Harned Rd Commack NY 11725-3527 | |
| (163) 154-38577 | |
| Not Available |
| Full Name | Commack Consultation Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 66 Harned Rd, Commack, New York |
| Authorized Official Name and Position | Carol Ann Kaufman (OWNER/MANAGER) |
| Authorized Official Contact | 6315438577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commack Consultation Center 66 Harned Rd Commack NY 11725-3527 Ph: (163) 154-38577 | Commack Consultation Center 66 Harned Rd Commack NY 11725-3527 Ph: (163) 154-38577 |
| NPI Number | 1245752971 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 07/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245752971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 008998 (New York) | Primary |
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