| East End Kids Psy, Slp, Ot & Pt Serv. Pllc | |
|
502 N Sea Rd Southampton NY 11968-2012 | |
| (631) 267-2900 | |
| (631) 267-2950 |
| Full Name | East End Kids Psy, Slp, Ot & Pt Serv. Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 502 N Sea Rd, Southampton, New York |
| Authorized Official Name and Position | Stephen Sicilian (EXECUTIVE DIRECTOR / PSYCHOLOGIST) |
| Authorized Official Contact | 6312672900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East End Kids Psy, Slp, Ot & Pt Serv. Pllc 502 N Sea Rd Southampton NY 11968-2012 Ph: (631) 267-2900 | East End Kids Psy, Slp, Ot & Pt Serv. Pllc 502 N Sea Rd Southampton NY 11968-2012 Ph: (631) 267-2900 |
| NPI Number | 1518256619 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518256619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 009036 (New York) | Primary |
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