| Child And Adult Clinical Psychiatry Pc | |
|
75 Prospect St Ste 110 Huntington NY 11743-3320 | |
| (631) 223-7739 | |
| (855) 225-9703 |
| Full Name | Child And Adult Clinical Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 75 Prospect St Ste 110, Huntington, New York |
| Authorized Official Name and Position | Aleksandra Krunic (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6312237739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Adult Clinical Psychiatry Pc 75 Prospect St Ste 110 Huntington NY 11743-3320 Ph: (631) 223-7739 | Child And Adult Clinical Psychiatry Pc 75 Prospect St Ste 110 Huntington NY 11743-3320 Ph: (631) 223-7739 |
| NPI Number | 1023632015 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023632015 | NPI | - | NPPES |
| 258783 | Other | NY | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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