| Long Island Neuropsychology, P.c. | |
|
290 Hawkins Ave Suite B Lake Ronkonkoma NY 11779-9600 | |
| (631) 334-7884 | |
| Not Available |
| Full Name | Long Island Neuropsychology, P.c. |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 290 Hawkins Ave, Lake Ronkonkoma, New York |
| Authorized Official Name and Position | Shane S. Bush (PRESIDENT) |
| Authorized Official Contact | 6313347884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Neuropsychology, P.c. 290 Hawkins Ave Suite B Lake Ronkonkoma NY 11779-9600 Ph: (631) 334-7884 | Long Island Neuropsychology, P.c. 290 Hawkins Ave Suite B Lake Ronkonkoma NY 11779-9600 Ph: (631) 334-7884 |
| NPI Number | 1356467419 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356467419 | NPI | - | NPPES |
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