| Brianna Fava, PHD | |
|
45 Route 25a Ste A2, Shoreham, NY 11786-1389 | |
| (631) 655-3021 | |
| Not Available |
| Full Name | Brianna Fava |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 45 Route 25a Ste A2, Shoreham, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851586408 | NPI | - | NPPES |
| 1285628552 | Other | NY | NPI NUMBER |
| 00355940 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 019661 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Fava, PHD 6 Sunset Ln E, Miller Place, NY 11764-1644 Ph: (631) 655-3021 | Brianna Fava, PHD 45 Route 25a Ste A2, Shoreham, NY 11786-1389 Ph: (631) 655-3021 |
Dr. Boneh G Avidor, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Circle Dr, Shoreham, NY 11786 Phone: 631-744-3458 | |
Dr. Barbara Fontana, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45 Route 25a, Ste A2, Shoreham, NY 11786 Phone: 631-821-1880 Fax: 631-821-4750 | |
Dr. Michael Joseph Canzoniero, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4 Salty Way, Shoreham, NY 11786 Phone: 631-821-2773 Fax: 631-821-2773 | |
Dr. Fallon Moscicki, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250b Route 25a, Shoreham, NY 11786 Phone: 631-821-8210 | |
Dr. Joseph William Connolly, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14 Josephine Blvd, Shoreham, NY 11786 Phone: 631-821-2745 Fax: 631-821-2745 |