| Gina Patalano, | |
|
200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | |
| (631) 474-6000 | |
| Not Available |
| Full Name | Gina Patalano |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 200 Belle Terre Rd, Port Jefferson, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558362426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 007635 (New York) | Primary |
| Entity Name | Long Island Select Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043663107 PECOS PAC ID: 5991086225 Enrollment ID: O20161229000247 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Patalano, 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6000 | Gina Patalano, 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 Ph: (631) 474-6000 |
Dr. Fredric M Levine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Main St, Port Jefferson, NY 11777 Phone: 631-473-6622 | |
Dr. Michael J Cardillo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41 N Country Rd, Office #1, Port Jefferson, NY 11777 Phone: 631-473-0020 | |
Dr. Nicole Hayes, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Spring St, Port Jefferson, NY 11777 Phone: 631-476-0564 | |
Dr. Becca Ilvento, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Rd, Psychology Dept, Port Jefferson, NY 11777 Phone: 631-474-6308 | |
Dr. Lisa Taxman Goldfarb, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 118 Spring St, Port Jefferson, NY 11777 Phone: 631-476-0564 Fax: 631-476-9322 | |
Dr. Michael James Perlotto, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 646 Main St, Port Jefferson, NY 11777 Phone: 631-689-1462 | |
Dr. Gabrielle Mcandrews, PSY.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 20 Crooked Oak Rd, Port Jefferson, NY 11777 Phone: 631-331-9083 Fax: 631-331-9083 |