| Operation Engage Psychiatric Services | |
|
1641 Route 112 Ste C Medford NY 11763-3663 | |
| (631) 730-5457 | |
| (631) 803-4242 |
| Full Name | Operation Engage Psychiatric Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1641 Route 112 Ste C, Medford, New York |
| Authorized Official Name and Position | Karen Nelson (OFFICE MANAGER) |
| Authorized Official Contact | 6317305457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Operation Engage Psychiatric Services 1641 Route 112 Ste C Medford NY 11763-3663 Ph: (631) 730-5457 | Operation Engage Psychiatric Services 1641 Route 112 Ste C Medford NY 11763-3663 Ph: (631) 730-5457 |
| NPI Number | 1740071182 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740071182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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