| Pederson-krag Center | |
|
8 Chester Ct Huntington NY 11743-5834 | |
| (631) 754-1684 | |
| Not Available |
| Full Name | Pederson-krag Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8 Chester Ct, Huntington, New York |
| Authorized Official Name and Position | Max Banilivy (PSYCHOLOGIST) |
| Authorized Official Contact | 6319208164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pederson-krag Center 8 Chester Ct Huntington NY 11743-5834 Ph: (631) 754-1684 | Pederson-krag Center 8 Chester Ct Huntington NY 11743-5834 Ph: (631) 754-1684 |
| NPI Number | 1033581517 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033581517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 41309 (New York) | Primary |
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