| Li Anxiety Care | |
|
55 Nesconset Hwy Port Jefferson Station NY 11776-2631 | |
| (631) 509-0601 | |
| (631) 509-0601 |
| Full Name | Li Anxiety Care |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 55 Nesconset Hwy, Port Jefferson Station, New York |
| Authorized Official Name and Position | Marvin Futtersak (OWNER) |
| Authorized Official Contact | 6315090601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Li Anxiety Care 55 Nesconset Hwy Port Jefferson Station NY 11776-2631 Ph: (631) 509-0601 | Li Anxiety Care 55 Nesconset Hwy Port Jefferson Station NY 11776-2631 Ph: (631) 509-0601 |
| NPI Number | 1326284159 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326284159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 010017 (New York) | Primary |
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