Mark Lawrence Dayboch in Smithtown - Clinical
Mark Lawrence Dayboch - NPI 1023136231
Mark Lawrence Dayboch is a Clinical in Smithtown, New York. Mark Lawrence Dayboch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Lawrence Dayboch is 1023136231. The last update date is 2007-07-08.
Mark Lawrence Dayboch's current location address is 119 Fifty Acre Rd S, Smithtown, New York. You can contact this provider via phone number 6319799294. The mailing address for Mark Lawrence Dayboch is 119 Fifty Acre Rd S, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Lawrence Dayboch |
|---|---|
| Address | 119 Fifty Acre Rd S, Smithtown, New York |
| Phone Number | 6319799294 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1023136231 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 119 Fifty Acre Rd S |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117872034 |
| Phone Number | 6319799294 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 009516-1 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2012224 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Lawrence Dayboch by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Lawrence Dayboch has been assigned the NPI (National Provider Identifier) 1023136231. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mark Lawrence Dayboch is geographically located?
The Mark Lawrence Dayboch is physically situated at the following location: 119 Fifty Acre Rd S, Smithtown, NY, 117872034.
What is the Mark Lawrence Dayboch's specialty and taxonomy code?
The Mark Lawrence Dayboch's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023136231 to Mark Lawrence Dayboch?
The Mark Lawrence Dayboch received its 1023136231 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.
When was the Mark Lawrence Dayboch's information last updated?
The Mark Lawrence Dayboch's information was last updated on 2007-07-08.
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