| Nyli Licensed Behavioranalyst Pc | |
|
1047 Washington Dr Centerport NY 11721-1818 | |
| (718) 576-8783 | |
| Not Available |
| Full Name | Nyli Licensed Behavioranalyst Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1047 Washington Dr, Centerport, New York |
| Authorized Official Name and Position | Joshua Aaron May (OWNER) |
| Authorized Official Contact | 7185768783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyli Licensed Behavioranalyst Pc 1047 Washington Dr Centerport NY 11721-1818 Ph: (718) 576-8783 | Nyli Licensed Behavioranalyst Pc 1047 Washington Dr Centerport NY 11721-1818 Ph: (718) 576-8783 |
| NPI Number | 1336619600 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336619600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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