| Hope Tms Medical Practice Pc | |
|
646 Main St Suite 201 Port Jefferson NY 11777-2235 | |
| (631) 509-6111 | |
| (631) 509-6112 |
| Full Name | Hope Tms Medical Practice Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 646 Main St, Port Jefferson, New York |
| Authorized Official Name and Position | Rena K Ferguson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6315096111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Tms Medical Practice Pc 646 Main St Suite 201 Port Jefferson NY 11777-2235 Ph: (631) 509-6111 | Hope Tms Medical Practice Pc 646 Main St Suite 201 Port Jefferson NY 11777-2235 Ph: (631) 509-6111 |
| NPI Number | 1043562986 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043562986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 230330 (New York) | Primary |
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