Dhara Shah, Mental Health Counseling P.c. | |
110 N Ocean Ave Patchogue NY 11772-2015 | |
(973) 870-1972 | |
Not Available |
Full Name | Dhara Shah, Mental Health Counseling P.c. |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 110 N Ocean Ave, Patchogue, New York |
Authorized Official Name and Position | Dhara Shah (OWNER) |
Authorized Official Contact | 9738701972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dhara Shah, Mental Health Counseling P.c. 5 Brown Pl Ronkonkoma NY 11779-5254 Ph: (973) 870-1972 | Dhara Shah, Mental Health Counseling P.c. 110 N Ocean Ave Patchogue NY 11772-2015 Ph: (973) 870-1972 |
NPI Number | 1558921668 |
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Provider Enumeration Date | 06/20/2019 |
Last Update Date | 06/20/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558921668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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