Ileen Liss is a Clinical in Great Neck, New York. Ileen Liss practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ileen Liss is 1689871766. The last update date is 2007-07-08.
Ileen Liss's current location address is 17 Barstow Rd, Great Neck, New York. You can contact this provider via phone number 5168292941. The mailing address for Ileen Liss is 17 Barstow Rd, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ileen Liss |
|---|---|
| Address | 17 Barstow Rd, Great Neck, New York |
| Phone Number | 5168292941 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1689871766 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17 Barstow Rd |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 110212213 |
| Phone Number | 5168292941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 010905-1 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Ileen Liss by the Centers for Medicare & Medicaid Services?
The Ileen Liss has been assigned the NPI (National Provider Identifier) 1689871766. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ileen Liss's facilities are situated?
The facilities of Ileen Liss are physically located at the following address: 17 Barstow Rd, Great Neck, NY, 110212213.
What is Ileen Liss's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ileen Liss is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Ileen Liss receive its 1689871766 assignment from the Centers for Medicare & Medicaid Services?
The Ileen Liss was assigned its 1689871766 on 2007-07-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ileen Liss's details last updated?
The information pertaining to the Ileen Liss, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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