| Southside Hospital Department Of Neurology | |
|
301 E Main St Bay Shore NY 11706-8408 | |
| (631) 968-3000 | |
| Not Available |
| Full Name | Southside Hospital Department Of Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 301 E Main St, Bay Shore, New York |
| Authorized Official Name and Position | Winifred Mack (CFO) |
| Authorized Official Contact | 6316754149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Hospital Department Of Neurology 301 E Main St Bay Shore NY 11706-8408 Ph: (631) 968-3000 | Southside Hospital Department Of Neurology 301 E Main St Bay Shore NY 11706-8408 Ph: (631) 968-3000 |
| NPI Number | 1578511127 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578511127 | NPI | - | NPPES |
| 01259347 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Jean Bacon Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 83 E Main St, Bay Shore, NY 11706 Phone: 631-666-5067 Fax: 631-593-5472 | |
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Lynne Slovin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Admirals Dr E, Bay Shore, NY 11706 Phone: 516-810-5690 | |
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Catholic Charities Of The Diocese Of Rockville Centre Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9 4th Ave, Bay Shore, NY 11706 Phone: 631-665-6707 |