| Island Psychiatric Services Pc | |
|
87 Cold Spring Road Syosset NY 11791-3142 | |
| (631) 385-1288 | |
| (631) 547-6471 |
| Full Name | Island Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 87 Cold Spring Road, Syosset, New York |
| Authorized Official Name and Position | Larry J Sloane (PRESIDENT) |
| Authorized Official Contact | 6313851288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Psychiatric Services Pc 87 Cold Spring Road Syosset NY 11791-3142 Ph: (631) 385-1288 | Island Psychiatric Services Pc 87 Cold Spring Road Syosset NY 11791-3142 Ph: (631) 385-1288 |
| NPI Number | 1871760876 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871760876 | NPI | - | NPPES |
| 00832191 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1537531 (New York) | Primary |
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