| Daniel Boyle Ph.d., Inc. | |
|
5036 Jericho Tpke Ste 203 Commack NY 11725-2812 | |
| (631) 462-5222 | |
| (631) 462-5258 |
| Full Name | Daniel Boyle Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 5036 Jericho Tpke Ste 203, Commack, New York |
| Authorized Official Name and Position | Daniel Boyle (PSYCHOLOGIST) |
| Authorized Official Contact | 6314625222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Boyle Ph.d., Inc. 5036 Jericho Tpke Ste 203 Commack NY 11725-2812 Ph: (631) 462-5222 | Daniel Boyle Ph.d., Inc. 5036 Jericho Tpke Ste 203 Commack NY 11725-2812 Ph: (631) 462-5222 |
| NPI Number | 1649851189 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Medicare PECOS PAC ID | 2860879640 |
|---|---|
| Medicare Enrollment ID | O20220517001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649851189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel Boyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184706715 PECOS PAC ID: 1355350604 Enrollment ID: I20060413000391 |
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