| Suffolk Behavioral Medicine P.c | |
|
535 Broadhollow Rd Melville NY 11747-3713 | |
| (631) 513-6262 | |
| Not Available |
| Full Name | Suffolk Behavioral Medicine P.c |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 535 Broadhollow Rd, Melville, New York |
| Authorized Official Name and Position | Mulchand Chugh (DIRECTOR) |
| Authorized Official Contact | 6315136262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Behavioral Medicine P.c 535 Broad Hollow Road Suite B-12 Melville NY 11747 Ph: (631) 513-6262 | Suffolk Behavioral Medicine P.c 535 Broadhollow Rd Melville NY 11747-3713 Ph: (631) 513-6262 |
| NPI Number | 1124312566 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 03/07/2013 |
| Medicare PECOS PAC ID | 6406020635 |
|---|---|
| Medicare Enrollment ID | O20111128000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124312566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 245951 (New York) | Primary |
| Provider Name | Mulchand Chugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164613139 PECOS PAC ID: 6204900681 Enrollment ID: I20080802000019 |
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