South Shore Psychological Care P.c. | |
250 Montauk Highway East Moriches NY 11940 | |
(631) 786-8930 | |
(631) 874-2824 |
Full Name | South Shore Psychological Care P.c. |
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Speciality | Psychologist |
Location | 250 Montauk Highway, East Moriches, New York |
Authorized Official Name and Position | Peter G D'elena (PSYCHOLOGIST-PRESIDENT) |
Authorized Official Contact | 6317868930 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Shore Psychological Care P.c. 250 Montauk Highway East Moriches NY 11940 Ph: (631) 786-8930 | South Shore Psychological Care P.c. 250 Montauk Highway East Moriches NY 11940 Ph: (631) 786-8930 |
NPI Number | 1144559881 |
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Provider Enumeration Date | 12/09/2009 |
Last Update Date | 12/09/2009 |
Medicare PECOS PAC ID | 6800922469 |
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Medicare Enrollment ID | O20100407000557 |
Identifier | Type | State | Issuer |
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1144559881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 015937 (New York) | Primary |
Provider Name | Peter G Delena |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770680324 PECOS PAC ID: 2163488263 Enrollment ID: I20060407000281 |
Alexander M. Piekarski, Ph.d.,psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 587 Montauk Hwy, East Moriches, NY 11940 Phone: 631-878-1530 Fax: 631-878-5775 |