| Nyu Langone Hospitals | |
|
101 Hospital Rd Patchogue NY 11772-4870 | |
| (631) 654-7175 | |
| Not Available |
| Full Name | Nyu Langone Hospitals |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 Hospital Rd, Patchogue, New York |
| Authorized Official Name and Position | Wesley A Smith (VP REVENUE CYCLE) |
| Authorized Official Contact | 8002376977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyu Langone Hospitals 101 Hospital Rd Patchogue NY 11772-4870 Ph: (631) 654-7175 | Nyu Langone Hospitals 101 Hospital Rd Patchogue NY 11772-4870 Ph: (631) 654-7175 |
| NPI Number | 1013724061 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013724061 | NPI | - | NPPES |
| 00245529 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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