| Juliana Kanji Psychiatric Services, Pc | |
|
775 Park Ave Suite 101 Huntington NY 11743-3976 | |
| (631) 427-1100 | |
| (631) 784-7748 |
| Full Name | Juliana Kanji Psychiatric Services, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 775 Park Ave, Huntington, New York |
| Authorized Official Name and Position | Debra Coane (OFFICE MANAGER) |
| Authorized Official Contact | 6317271100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juliana Kanji Psychiatric Services, Pc 775 Park Ave Suite 101 Huntington NY 11743-3976 Ph: (631) 427-1100 | Juliana Kanji Psychiatric Services, Pc 775 Park Ave Suite 101 Huntington NY 11743-3976 Ph: (631) 427-1100 |
| NPI Number | 1053405001 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053405001 | NPI | - | NPPES |
| 01393099 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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