| Tatis Np In Psychiatry Pc | |
|
907 Belmore Ave Islip Terrace NY 11752-1005 | |
| (631) 944-8399 | |
| (631) 944-8390 |
| Full Name | Tatis Np In Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 907 Belmore Ave, Islip Terrace, New York |
| Authorized Official Name and Position | Ken Tatis (PRACTICE MANAGER) |
| Authorized Official Contact | 6319448399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tatis Np In Psychiatry Pc 907 Belmore Ave Islip Terrace NY 11752-1005 Ph: (631) 944-8399 | Tatis Np In Psychiatry Pc 907 Belmore Ave Islip Terrace NY 11752-1005 Ph: (631) 944-8399 |
| NPI Number | 1578354288 |
|---|---|
| Provider Enumeration Date | 05/13/2025 |
| Last Update Date | 09/02/2025 |
| Certification Date | 08/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578354288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Psychotherapy At Home, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 326 Sea Cliff St, Islip Terrace, NY 11752 Phone: 516-302-5645 |