| North Shore Child And Family Guidance Association Incorporated | |
|
480 Old Westbury Road Roslyn Heights NY 11577 | |
| (516) 626-1971 | |
| (516) 625-5647 |
| Full Name | North Shore Child And Family Guidance Association Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 480 Old Westbury Road, Roslyn Heights, New York |
| Authorized Official Name and Position | Andrew Malekoff (CEO & EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5166261971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Child And Family Guidance Association Incorporated 480 Old Westbury Road Roslyn Heights NY 11577 Ph: (516) 626-1971 | North Shore Child And Family Guidance Association Incorporated 480 Old Westbury Road Roslyn Heights NY 11577 Ph: (516) 626-1971 |
| NPI Number | 1508929621 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 2860381217 |
|---|---|
| Medicare Enrollment ID | O20040312001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508929621 | NPI | - | NPPES |
| 02995935 | Medicaid | NY |
| Provider Name | Reena Nandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922203090 PECOS PAC ID: 7214165059 Enrollment ID: I20140204000213 |
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