| Northwell Health - Behavioral Health Service Line | |
|
27005 76th Ave New Hyde Park NY 11040-1402 | |
| (516) 465-8089 | |
| Not Available |
| Full Name | Northwell Health - Behavioral Health Service Line |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 27005 76th Ave, New Hyde Park, New York |
| Authorized Official Name and Position | Robert S Shapiro (EXEC. VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 5163216025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwell Health - Behavioral Health Service Line 972 Brush Hollow Rd 5th Floor Westbury NY 11590-1740 Ph: (516) 876-6065 | Northwell Health - Behavioral Health Service Line 27005 76th Ave New Hyde Park NY 11040-1402 Ph: (516) 465-8089 |
| NPI Number | 1922543602 |
|---|---|
| Provider Enumeration Date | 01/04/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922543602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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