| Cheryl S Chitayat Psy D Pc | |
|
358 Veterans Memorial Hwy. Suite 12 Commack NY 11725-4332 | |
| (631) 864-5535 | |
| Not Available |
| Full Name | Cheryl S Chitayat Psy D Pc |
|---|---|
| Speciality | Psychologist |
| Location | 358 Veterans Memorial Hwy., Commack, New York |
| Authorized Official Name and Position | Cheryl S. Chitayat (PRESIDENT) |
| Authorized Official Contact | 6318645535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl S Chitayat Psy D Pc 358 Veterans Memorial Hwy. Suite 12 Commack NY 11725-4332 Ph: (631) 864-5535 | Cheryl S Chitayat Psy D Pc 358 Veterans Memorial Hwy. Suite 12 Commack NY 11725-4332 Ph: (631) 864-5535 |
| NPI Number | 1356563431 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 02/09/2018 |
| Medicare PECOS PAC ID | 9234386848 |
|---|---|
| Medicare Enrollment ID | O20120904000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356563431 | NPI | - | NPPES |
| S09723-8 | Other | NY | WCB# |
| Provider Name | Cheryl S Chitayat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508088667 PECOS PAC ID: 5496902009 Enrollment ID: I20120910000051 |
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