Family Psychology Of Long Island, P.c. | |
1563 Montauk Hwy Oakdale NY 11769-1322 | |
(631) 563-3162 | |
(631) 563-3185 |
Full Name | Family Psychology Of Long Island, P.c. |
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Speciality | Psychologist |
Location | 1563 Montauk Hwy, Oakdale, New York |
Authorized Official Name and Position | Mark Furshpan (PSYCHOLOGIST) |
Authorized Official Contact | 6315633162 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Psychology Of Long Island, P.c. 1563 Montauk Higheay Oakdale NY 11769-1322 Ph: (631) 563-3162 | Family Psychology Of Long Island, P.c. 1563 Montauk Hwy Oakdale NY 11769-1322 Ph: (631) 563-3162 |
NPI Number | 1841412244 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 10/25/2013 |
Medicare PECOS PAC ID | 2365438793 |
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Medicare Enrollment ID | O20040421001877 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841412244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 008908 (New York) | Primary |
Provider Name | Mark O Furshpan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851488704 PECOS PAC ID: 1850385576 Enrollment ID: I20040414000327 |
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