Dr Thomas Elmer Preston, PHD is a
Clinical Neuropsychologist based in Stony Brook, New York. Dr Thomas Elmer Preston is licensed to practice in New York (license number 012040) and his current practice location is
29 Hargrove Drive, Stony Brook, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 513-8104.
NPI number for Dr Thomas Elmer Preston is 1649271396 and his current mailing address is 29 Hargrove Drive, Stony Brook, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649271396.
Healthcare Provider's Profile
| Full Name | Dr Thomas Elmer Preston |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 29 Hargrove Drive, Stony Brook, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649271396
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 04/10/2015
Medical Identifiers
Medical identifiers for Dr Thomas Elmer Preston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649271396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 012040 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 012040 (New York) | Primary |
| 103TC0700X | Psychologist - Clinical | 012040 (New York) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 012040 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Elmer Preston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas Elmer Preston, PHD
29 Hargrove Drive,
Stony Brook, NY 11790-2328
Ph: (631) 513-8104 | Dr Thomas Elmer Preston, PHD
29 Hargrove Drive,
Stony Brook, NY 11790-2328
Ph: (631) 513-8104 |
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