| Long Island Biofeedback And Hypnosis Inc. | |
|
1575 Hillside Ave Suite 100 New Hyde Park NY 11040-2521 | |
| (516) 508-6900 | |
| (516) 352-2596 |
| Full Name | Long Island Biofeedback And Hypnosis Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1575 Hillside Ave, New Hyde Park, New York |
| Authorized Official Name and Position | Charles Brody (SOLE OWNER) |
| Authorized Official Contact | 5165086900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Biofeedback And Hypnosis Inc. 10 Norman Ct Glen Cove NY 11542-1529 Ph: (516) 508-6900 | Long Island Biofeedback And Hypnosis Inc. 1575 Hillside Ave Suite 100 New Hyde Park NY 11040-2521 Ph: (516) 508-6900 |
| NPI Number | 1356601330 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Medicare PECOS PAC ID | 2365888021 |
|---|---|
| Medicare Enrollment ID | O20240315003192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356601330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 000201-1 (New York) | Primary |
| Provider Name | Charles Brody |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568527232 PECOS PAC ID: 3274979935 Enrollment ID: I20240315003385 |
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