| Stony Brook Eastern Long Island Hospital Psych Unit | |
|
201 Manor Pl Greenport NY 11944-1222 | |
| (631) 477-1000 | |
| (631) 477-1746 |
| Full Name | Stony Brook Eastern Long Island Hospital Psych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 201 Manor Pl, Greenport, New York |
| Authorized Official Name and Position | Paul Connor (CAO) |
| Authorized Official Contact | 6314771000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stony Brook Eastern Long Island Hospital Psych Unit 201 Manor Pl Greenport NY 11944-1222 Ph: (631) 477-1000 | Stony Brook Eastern Long Island Hospital Psych Unit 201 Manor Pl Greenport NY 11944-1222 Ph: (631) 477-1000 |
| NPI Number | 1467411991 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467411991 | NPI | - | NPPES |
| 000538 | Other | BLUE CROSS | |
| 00274337 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
North Fork Psychiatry, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Atlantic Ave, Greenport, NY 11944 Phone: 631-627-1559 Fax: 621-477-0219 |