| Peter F Wigg Psyd Psychologist Pc | |
|
810 E Main St Riverhead NY 11901-2563 | |
| (631) 365-5241 | |
| (631) 208-8555 |
| Full Name | Peter F Wigg Psyd Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 810 E Main St, Riverhead, New York |
| Authorized Official Name and Position | Peter F Wigg (PSYCHOLOGIST) |
| Authorized Official Contact | 6313655241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter F Wigg Psyd Psychologist Pc Po Box 393 Eastport NY 11941-0393 Ph: (631) 365-5241 | Peter F Wigg Psyd Psychologist Pc 810 E Main St Riverhead NY 11901-2563 Ph: (631) 365-5241 |
| NPI Number | 1225545700 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Medicare PECOS PAC ID | 2567723687 |
|---|---|
| Medicare Enrollment ID | O20180305002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225545700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 016702 (New York) | Primary |
| Provider Name | Peter F Wigg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699852079 PECOS PAC ID: 1658476205 Enrollment ID: I20091120000373 |
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