Private Practice Psychiatry Services Llc | |
67 E Main St Riverhead NY 11901-2422 | |
(631) 392-4357 | |
(631) 392-4358 |
Full Name | Private Practice Psychiatry Services Llc |
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Speciality | Counselor |
Location | 67 E Main St, Riverhead, New York |
Authorized Official Name and Position | Deborah Petry (COUNSELOR) |
Authorized Official Contact | 6313924357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Private Practice Psychiatry Services Llc 67 E Main St Riverhead NY 11901-2422 Ph: () - | Private Practice Psychiatry Services Llc 67 E Main St Riverhead NY 11901-2422 Ph: (631) 392-4357 |
NPI Number | 1043869464 |
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Provider Enumeration Date | 09/09/2019 |
Last Update Date | 09/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043869464 | NPI | - | NPPES |
1497856108 | Other | NY | COMMERICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Isabel Meltzer, Csw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 E 2nd St, Riverhead, NY 11901 Phone: 631-208-9219 Fax: 631-727-6605 | |
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