Kanaris Psychological Services Pc | |
496 Smithtown Byp #304 Smithtown NY 11787-5005 | |
(631) 979-2640 | |
(631) 979-2684 |
Full Name | Kanaris Psychological Services Pc |
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Speciality | Psychologist |
Location | 496 Smithtown Byp, Smithtown, New York |
Authorized Official Name and Position | Peter S Kanaris (PSYCHOLOGIST/PRESIDENT) |
Authorized Official Contact | 6319792640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kanaris Psychological Services Pc 496 Smithtown Byp #304 Smithtown NY 11787-5005 Ph: (631) 979-2640 | Kanaris Psychological Services Pc 496 Smithtown Byp #304 Smithtown NY 11787-5005 Ph: (631) 979-2640 |
NPI Number | 1144205105 |
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Provider Enumeration Date | 12/13/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1144205105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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