| Dr. Clifford Issacoff Clinical Psychologist, P.c. | |
|
126 E Main St East Islip NY 11730-2600 | |
| (631) 277-8367 | |
| Not Available |
| Full Name | Dr. Clifford Issacoff Clinical Psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 126 E Main St, East Islip, New York |
| Authorized Official Name and Position | Clifford Issacoff (OWNER) |
| Authorized Official Contact | 6312778367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Clifford Issacoff Clinical Psychologist, P.c. Po Box 254 Islip Terrace NY 11752-0254 Ph: (631) 277-8367 | Dr. Clifford Issacoff Clinical Psychologist, P.c. 126 E Main St East Islip NY 11730-2600 Ph: (631) 277-8367 |
| NPI Number | 1871907451 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 06/11/2014 |
| Medicare PECOS PAC ID | 2567780505 |
|---|---|
| Medicare Enrollment ID | O20150423000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871907451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 009286 (New York) | Primary |
| Provider Name | Clifford J Issacoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750300844 PECOS PAC ID: 3678748779 Enrollment ID: I20111219000068 |
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