| Sagamore Childrens Psychiatric Center | |
|
197 Half Hollow Rd Dix Hills NY 11746-5861 | |
| (631) 673-7700 | |
| Not Available |
| Full Name | Sagamore Childrens Psychiatric Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 197 Half Hollow Rd, Dix Hills, New York |
| Authorized Official Name and Position | Beth Giarrusso (DIRECTOR, FINANCE) |
| Authorized Official Contact | 5184733598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagamore Childrens Psychiatric Center 44 Holland Ave Albany NY 12229-0001 Ph: (518) 473-8234 | Sagamore Childrens Psychiatric Center 197 Half Hollow Rd Dix Hills NY 11746-5861 Ph: (631) 673-7700 |
| NPI Number | 1104983329 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104983329 | NPI | - | NPPES |
| 00769282 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (New York) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (New York) | Primary |
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