| J Robert Quilty Phd Psychologist Pc | |
|
139 Main Street Stony Brook NY 11790-0304 | |
| (631) 751-4873 | |
| (631) 473-8282 |
| Full Name | J Robert Quilty Phd Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 139 Main Street, Stony Brook, New York |
| Authorized Official Name and Position | Robert Quilty (PSYCHOLOGIST) |
| Authorized Official Contact | 6317514873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Robert Quilty Phd Psychologist Pc Po Box 304 Stony Brook NY 11790-0304 Ph: (631) 751-4873 | J Robert Quilty Phd Psychologist Pc 139 Main Street Stony Brook NY 11790-0304 Ph: (631) 751-4873 |
| NPI Number | 1841698131 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 12/18/2014 |
| Medicare PECOS PAC ID | 9032435268 |
|---|---|
| Medicare Enrollment ID | O20150306001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841698131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 010801 (New York) | Primary |
| Provider Name | Robert Quilty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184608655 PECOS PAC ID: 5092606707 Enrollment ID: I20040323000338 |
George G. Fairey Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N Country Rd Ste 2a, Stony Brook, NY 11790 Phone: 631-689-5155 | |
John G. Cottone, Psychologist, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1099 N Country Rd, Suite L, Stony Brook, NY 11790 Phone: 631-941-2210 Fax: 631-941-2210 | |
Department Of Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794 Phone: 631-444-2599 Fax: 631-444-4743 | |
Michael L Nissnbaum, Ph.d., Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4 Coed Ln, Stony Brook, NY 11790 Phone: 631-737-9500 Fax: 631-737-9512 | |
Corina Segal Mental Health Counseling, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy Bldg 4b, Stony Brook, NY 11790 Phone: 631-903-1087 | |
Ryan L Clements Psy.d. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 N Country Rd, Unit L, Stony Brook, NY 11790 Phone: 631-941-2210 | |
Brett M. Liquori, Licensed Psychologist, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Westwood Ave, Stony Brook, NY 11790 Phone: 631-444-5354 Fax: 631-444-5354 |