| Stephen Andreopoulos Psychologist Pc | |
|
143 Willis Ave Mineola NY 11501-2610 | |
| (516) 739-0234 | |
| Not Available |
| Full Name | Stephen Andreopoulos Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 143 Willis Ave, Mineola, New York |
| Authorized Official Name and Position | Stephen Harry Andreopoulos (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5167390234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Andreopoulos Psychologist Pc 143 Willis Ave Mineola NY 11501-2610 Ph: () - | Stephen Andreopoulos Psychologist Pc 143 Willis Ave Mineola NY 11501-2610 Ph: (516) 739-0234 |
| NPI Number | 1932460730 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 07/19/2012 |
| Medicare PECOS PAC ID | 4587828876 |
|---|---|
| Medicare Enrollment ID | O20120618000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932460730 | NPI | - | NPPES |
| 02607936 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 015522 (New York) | Primary |
| Provider Name | Stephen Andreopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467597260 PECOS PAC ID: 8628062924 Enrollment ID: I20060504000336 |
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