| Psychology Practice | |
|
865 Merrick Rd #305 Baldwin NY 11510-3338 | |
| (516) 868-3421 | |
| Not Available |
| Full Name | Psychology Practice |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 865 Merrick Rd, Baldwin, New York |
| Authorized Official Name and Position | Leroy V. Monroe (PSYCHOLOGIST) |
| Authorized Official Contact | 5168683421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Practice 865 Merrick Rd #305 Baldwin NY 11510-3338 Ph: (516) 868-3421 | Psychology Practice 865 Merrick Rd #305 Baldwin NY 11510-3338 Ph: (516) 868-3421 |
| NPI Number | 1356700066 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356700066 | NPI | - | NPPES |
| 01572229 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 008773 (New York) | Primary |
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