| Long Island Child Psychiatry, Pllc | |
|
100 S Jersey Ave Unit #1 East Setauket NY 11733-2034 | |
| (631) 343-3140 | |
| (631) 343-3124 |
| Full Name | Long Island Child Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 100 S Jersey Ave, East Setauket, New York |
| Authorized Official Name and Position | James Townsend (MANAGING MEMBER) |
| Authorized Official Contact | 6313433140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Child Psychiatry, Pllc 100 S Jersey Ave Unit #1 East Setauket NY 11733-2034 Ph: (631) 343-3140 | Long Island Child Psychiatry, Pllc 100 S Jersey Ave Unit #1 East Setauket NY 11733-2034 Ph: (631) 343-3140 |
| NPI Number | 1568880771 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Medicare PECOS PAC ID | 0143446989 |
|---|---|
| Medicare Enrollment ID | O20140730002870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568880771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 248588 (New York) | Primary |
| Provider Name | James E Townsend |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497973226 PECOS PAC ID: 9931267671 Enrollment ID: I20081023000687 |
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