| North Fork Psychiatry, Pllc | |
|
300 Atlantic Ave Greenport NY 11944-1264 | |
| (631) 627-1559 | |
| (621) 477-0219 |
| Full Name | North Fork Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 300 Atlantic Ave, Greenport, New York |
| Authorized Official Name and Position | Douglas K Hoverkamp (CEO, EXECUTIVE CHAIRMAN) |
| Authorized Official Contact | 6316271559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Fork Psychiatry, Pllc 300 Atlantic Ave Greenport NY 11944-1264 Ph: (631) 627-1559 | North Fork Psychiatry, Pllc 300 Atlantic Ave Greenport NY 11944-1264 Ph: (631) 627-1559 |
| NPI Number | 1437474137 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 04/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437474137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 247356 (New York) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 247356 (New York) | Secondary |
Stony Brook Eastern Long Island Hospital Psych Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Manor Pl, Greenport, NY 11944 Phone: 631-477-1000 Fax: 631-477-1746 |