| Alexander M. Piekarski, Ph.d.,psychologist, P.c. | |
|
587 Montauk Hwy East Moriches NY 11940-1234 | |
| (631) 878-1530 | |
| (631) 878-5775 |
| Full Name | Alexander M. Piekarski, Ph.d.,psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 587 Montauk Hwy, East Moriches, New York |
| Authorized Official Name and Position | Alexander M Piekarski (OWNER/DR.) |
| Authorized Official Contact | 6318781530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander M. Piekarski, Ph.d.,psychologist, P.c. Po Box 101 East Moriches NY 11940-0101 Ph: (631) 878-1530 | Alexander M. Piekarski, Ph.d.,psychologist, P.c. 587 Montauk Hwy East Moriches NY 11940-1234 Ph: (631) 878-1530 |
| NPI Number | 1669611356 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Medicare PECOS PAC ID | 7517023294 |
|---|---|
| Medicare Enrollment ID | O20090304000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669611356 | NPI | - | NPPES |
| V4C551 | Other | NY | MEDICARE P TAN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Alexander Piekarski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356400386 PECOS PAC ID: 8820061393 Enrollment ID: I20040813000971 |
South Shore Psychological Care P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 250 Montauk Highway, East Moriches, NY 11940 Phone: 631-786-8930 Fax: 631-874-2824 |