| South Shore Psychological Services Pllc | |
|
144 Grove Ave Cedarhurst NY 11516-2315 | |
| (516) 791-0111 | |
| (516) 374-9640 |
| Full Name | South Shore Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 144 Grove Ave, Cedarhurst, New York |
| Authorized Official Name and Position | Sunita Saini (MANAGER) |
| Authorized Official Contact | 5167910111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Psychological Services Pllc 144 Grove Ave Cedarhurst NY 11516-2315 Ph: (516) 791-0111 | South Shore Psychological Services Pllc 144 Grove Ave Cedarhurst NY 11516-2315 Ph: (516) 791-0111 |
| NPI Number | 1770680472 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 06/25/2015 |
| Medicare PECOS PAC ID | 2365331824 |
|---|---|
| Medicare Enrollment ID | O20040312000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770680472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 8501 (New York) | Primary |
| Provider Name | Elizabeth A Roness |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568513968 PECOS PAC ID: 5193616670 Enrollment ID: I20040323001534 |
| Provider Name | Dianne M Ollech |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669418158 PECOS PAC ID: 1951390335 Enrollment ID: I20040511000216 |
| Provider Name | Wolfgang Zieher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992797971 PECOS PAC ID: 2961536081 Enrollment ID: I20110404000250 |
| Provider Name | Carol S Lempel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346301587 PECOS PAC ID: 8628242427 Enrollment ID: I20111112000000 |
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