| Long Island Neurocare Therapy Pllc | |
|
1739 N Ocean Ave Ste A Medford NY 11763-2683 | |
| (631) 741-1400 | |
| (631) 714-4191 |
| Full Name | Long Island Neurocare Therapy Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1739 N Ocean Ave Ste A, Medford, New York |
| Authorized Official Name and Position | Richard Pitch (OWNER) |
| Authorized Official Contact | 6317144100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Neurocare Therapy Pllc 1739 N Ocean Ave Ste A Medford NY 11763-2683 Ph: (631) 741-1400 | Long Island Neurocare Therapy Pllc 1739 N Ocean Ave Ste A Medford NY 11763-2683 Ph: (631) 741-1400 |
| NPI Number | 1477064855 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 8325306632 |
|---|---|
| Medicare Enrollment ID | O20171214001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477064855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Richard J Pitch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679661664 PECOS PAC ID: 4486811775 Enrollment ID: I20120127000688 |
| Provider Name | Manpreet Nijjar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134765118 PECOS PAC ID: 5193101806 Enrollment ID: I20221004002025 |
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