Long Island Geriatric Psychological Services P.c. | |
118-35 Queens Blvd Suite 1403 Forest Hills NY 11375-7205 | |
(718) 268-6600 | |
Not Available |
Full Name | Long Island Geriatric Psychological Services P.c. |
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Speciality | Psychologist - Clinical |
Location | 118-35 Queens Blvd, Forest Hills, New York |
Authorized Official Name and Position | Susan J Hall (PRESIDENT) |
Authorized Official Contact | 7182686600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Long Island Geriatric Psychological Services P.c. 118-35 Queens Blvd Suite 1403 Forest Hills NY 11375-7205 Ph: (718) 268-6600 | Long Island Geriatric Psychological Services P.c. 118-35 Queens Blvd Suite 1403 Forest Hills NY 11375-7205 Ph: (718) 268-6600 |
NPI Number | 1225474968 |
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Provider Enumeration Date | 05/21/2013 |
Last Update Date | 05/21/2013 |
Identifier | Type | State | Issuer |
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1225474968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 015238-1 (New York) | Primary |
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Geriatric Psychological Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118-35 Queens Blvd., Suite 1403, Forest Hills, NY 11375 Phone: 718-268-6600 | |
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