| Steven Yellin Clinical Psychologist Pc | |
|
333 Glen Head Rd Suite 50 Glen Head NY 11545-1947 | |
| (516) 674-8403 | |
| (631) 543-0719 |
| Full Name | Steven Yellin Clinical Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 333 Glen Head Rd, Glen Head, New York |
| Authorized Official Name and Position | Steven Allen Yellin (PRESIDENT/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6319354340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Yellin Clinical Psychologist Pc 333 Glen Head Rd Suite 50 Glen Head NY 11545-1947 Ph: (631) 935-4340 | Steven Yellin Clinical Psychologist Pc 333 Glen Head Rd Suite 50 Glen Head NY 11545-1947 Ph: (516) 674-8403 |
| NPI Number | 1295077949 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Medicare PECOS PAC ID | 6608013065 |
|---|---|
| Medicare Enrollment ID | O20130503000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295077949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 09453 (New York) | Primary |
| Provider Name | Steven A Yellin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558317735 PECOS PAC ID: 3274545223 Enrollment ID: I20060613000042 |
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