Long Island Neuropsychology, P.C. in Lake Ronkonkoma - Rehabilitation
Long Island Neuropsychology, P.C. - NPI 1356467419
Long Island Neuropsychology, P.C. is a Rehabilitation in Lake Ronkonkoma, New York. Long Island Neuropsychology, P.C. practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Long Island Neuropsychology, P.C. is 1356467419. The last update date is 2020-08-22.
Long Island Neuropsychology, P.C.'s current location address is 290 Hawkins Ave, Lake Ronkonkoma, New York. You can contact this provider via phone number 6313347884. The mailing address for Long Island Neuropsychology, P.C. is 290 Hawkins Ave, Lake Ronkonkoma, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Long Island Neuropsychology, P.C. |
|---|---|
| Address | 290 Hawkins Ave, Lake Ronkonkoma, New York |
| Phone Number | 6313347884 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bush S. Shane |
| Credentials | PH.D. |
| Telephone Number | 6313347884 |
NPI Number Detail
| NPI Number | 1356467419 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 290 Hawkins Ave |
|---|---|
| City | Lake Ronkonkoma |
| State | New York (NY) |
| Post Code | 117799600 |
| Phone Number | 6313347884 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 103Tr0400X |
| Licence No | 12998 |
|
Definition: A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Long Island Neuropsychology, P.C. by the Centers for Medicare & Medicaid Services?
The Long Island Neuropsychology, P.C. has been issued the NPI (National Provider Identifier) 1356467419 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Long Island Neuropsychology, P.C.'s facilities are situated?
The facilities of Long Island Neuropsychology, P.C. are physically located at the following address: 290 Hawkins Ave, Lake Ronkonkoma, NY, 117799600.
What is Long Island Neuropsychology, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Long Island Neuropsychology, P.C.'s specialized field of practice is Rehabilitation, and the corresponding taxonomy code that categorizes this area of specialization is 103Tr0400X.
On what date did the Long Island Neuropsychology, P.C. receive its 1356467419 assignment from the Centers for Medicare & Medicaid Services?
The Long Island Neuropsychology, P.C. was assigned its 1356467419 by the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date were the details related to Long Island Neuropsychology, P.C. most recently updated or revised?
The information pertaining to Long Island Neuropsychology, P.C., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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