| Shelter Rock Psychiatric Services, P.c. | |
|
580 Sunrise Hwy West Babylon NY 11704-6000 | |
| (631) 321-7697 | |
| (631) 321-6140 |
| Full Name | Shelter Rock Psychiatric Services, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 580 Sunrise Hwy, West Babylon, New York |
| Authorized Official Name and Position | Jack Nass (PRESIDENT) |
| Authorized Official Contact | 6313217697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelter Rock Psychiatric Services, P.c. 580 Sunrise Hwy West Babylon NY 11704-6000 Ph: (631) 321-7697 | Shelter Rock Psychiatric Services, P.c. 580 Sunrise Hwy West Babylon NY 11704-6000 Ph: (631) 321-7697 |
| NPI Number | 1700191293 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700191293 | NPI | - | NPPES |
| 128697 | Other | NY | NYS LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 128697 (New York) | Primary |
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