| John G. Cottone, Psychologist, Pllc | |
|
1099 N Country Rd Suite L Stony Brook NY 11790-1924 | |
| (631) 941-2210 | |
| (631) 941-2210 |
| Full Name | John G. Cottone, Psychologist, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1099 N Country Rd, Stony Brook, New York |
| Authorized Official Name and Position | John Gregory Cottone (OWNER) |
| Authorized Official Contact | 6319412210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John G. Cottone, Psychologist, Pllc 1099 N Country Rd Suite L Stony Brook NY 11790-1924 Ph: (631) 941-2210 | John G. Cottone, Psychologist, Pllc 1099 N Country Rd Suite L Stony Brook NY 11790-1924 Ph: (631) 941-2210 |
| NPI Number | 1124217195 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Medicare PECOS PAC ID | 0547356586 |
|---|---|
| Medicare Enrollment ID | O20071022000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124217195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 017050-1 (New York) | Primary |
| Provider Name | John G Cottone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396887733 PECOS PAC ID: 0648366682 Enrollment ID: I20071022000513 |
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