| Terrap Anxiety And Phobiacare | |
|
755 Park Ave Suite 140 Huntington NY 11743-3975 | |
| (631) 549-8867 | |
| (631) 423-8446 |
| Full Name | Terrap Anxiety And Phobiacare |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 755 Park Ave, Huntington, New York |
| Authorized Official Name and Position | Julian M. Herskowitz (DIRECTOR) |
| Authorized Official Contact | 6315498867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrap Anxiety And Phobiacare 755 Park Ave Suite 140 Huntington NY 11743-3975 Ph: (631) 549-8867 | Terrap Anxiety And Phobiacare 755 Park Ave Suite 140 Huntington NY 11743-3975 Ph: (631) 549-8867 |
| NPI Number | 1811263429 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811263429 | NPI | - | NPPES |
| 1811263429 | Other | NY | MEDICARE NPI |
| A100066565 | Other | NY | MEDICARE P-TAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 006644 (New York) | Primary |
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