| Evelyn Botkin, Phd., Psychologist, Pc | |
|
68 Vineyard Rd Huntington NY 11743-2260 | |
| (631) 549-3255 | |
| (631) 549-3218 |
| Full Name | Evelyn Botkin, Phd., Psychologist, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 68 Vineyard Rd, Huntington, New York |
| Authorized Official Name and Position | Evelyn Betty Botkin (PRESIDENT) |
| Authorized Official Contact | 6315493255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn Botkin, Phd., Psychologist, Pc 68 Vineyard Rd Huntington NY 11743-2260 Ph: (631) 549-3255 | Evelyn Botkin, Phd., Psychologist, Pc 68 Vineyard Rd Huntington NY 11743-2260 Ph: (631) 549-3255 |
| NPI Number | 1770612384 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770612384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4634 (New York) | Primary |
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