| Focus Feedback, Pllc | |
|
358 Veterans Memorial Hwy Ste 12 Commack NY 11725 | |
| (631) 240-3030 | |
| Not Available |
| Full Name | Focus Feedback, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 358 Veterans Memorial Hwy Ste 12, Commack, New York |
| Authorized Official Name and Position | Andreas C Michaelides (OWNER) |
| Authorized Official Contact | 6312403030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Focus Feedback, Pllc 358 Veterans Hwy Ste 12 Commack NY 11725-4326 Ph: (631) 240-3030 | Focus Feedback, Pllc 358 Veterans Memorial Hwy Ste 12 Commack NY 11725 Ph: (631) 240-3030 |
| NPI Number | 1710494760 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710494760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 020318 (New York) | Primary |
| 225X00000X | Occupational Therapist | 014831 (New York) | Secondary |
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