| Ronald Boykin Psychologist Pc | |
|
55 Lenox Rd Apt 1f Rockville Centre NY 11570-5234 | |
| (516) 426-8886 | |
| Not Available |
| Full Name | Ronald Boykin Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 55 Lenox Rd Apt 1f, Rockville Centre, New York |
| Authorized Official Name and Position | Ronald Lloyd Boykin (PRESIDENT) |
| Authorized Official Contact | 5164268886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Boykin Psychologist Pc 55 Lenox Rd Apt 1f Rockville Centre NY 11570-5234 Ph: (516) 426-8886 | Ronald Boykin Psychologist Pc 55 Lenox Rd Apt 1f Rockville Centre NY 11570-5234 Ph: (516) 426-8886 |
| NPI Number | 1568551117 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 4880691138 |
|---|---|
| Medicare Enrollment ID | O20061028000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568551117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 009118 (New York) | Primary |
| Provider Name | Ronald L Boykin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497796197 PECOS PAC ID: 2163429416 Enrollment ID: I20061028000013 |
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