| Horizon Psychology Of Ny, Pllc | |
|
1000 Main St Ste G Port Jefferson NY 11777-2250 | |
| (631) 209-7917 | |
| Not Available |
| Full Name | Horizon Psychology Of Ny, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1000 Main St Ste G, Port Jefferson, New York |
| Authorized Official Name and Position | Jennifer E Donnelly-greenberg (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6312097917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Psychology Of Ny, Pllc 1000 Main St Ste G Port Jefferson NY 11777-2250 Ph: (631) 209-7917 | Horizon Psychology Of Ny, Pllc 1000 Main St Ste G Port Jefferson NY 11777-2250 Ph: (631) 209-7917 |
| NPI Number | 1578137121 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 0446655047 |
|---|---|
| Medicare Enrollment ID | O20210819002580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578137121 | NPI | - | NPPES |
| Provider Name | Jennifer E Donnelly-greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346770062 PECOS PAC ID: 0648544304 Enrollment ID: I20180514002249 |
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