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Sunrise Park Psychotherapy Lcsw Pc
Adult Mental Health Clinic/Center in Wantagh, New York
NPI 1376288530

Sunrise Park Psychotherapy Lcsw Pc is an Adult Mental Health Clinic/Center based in Wantagh, NY and is specialized in Adult Mental Health. Sunrise Park Psychotherapy Lcsw Pc practices in Wantagh, NY. The NPI Number for Sunrise Park Psychotherapy Lcsw Pc is 1376288530 and holds a License No. (New York).

The current practice location address for Sunrise Park Psychotherapy Lcsw Pc is 1228 Wantagh Ave Ste 111, Wantagh, NY and can be reached out via phone at 516-644-6495 and via fax at 516-324-3143.

Location: 1228 Wantagh Ave Ste 111, Wantagh, NY, 11793-2209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376288530
Provider Name
Sunrise Park Psychotherapy Lcsw Pc
Credential
Provider Entity Type
Organization
Address
1228 Wantagh Ave Ste 111, Wantagh, NY, 11793-2209
Phone Number
516-644-6495
Fax Number
516-324-3143
Provider Enumeration Date
05/02/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1048692 01 NY BEACON HEALTH OPTIONS
NKN592 01 NY BCBS ANTHEM ID
institution
Provider Business Practice Location Address Details
Address
1228 Wantagh Ave Ste 111
City
Wantagh
State
New York
Zip
11793-2209
Phone Number
516-644-6495
Fax Number
516-324-3143
person
Provider Business Mailing Address Details
Address
1228 Wantagh Ave Ste 111
City
Wantagh
State
New York
Zip
11793-2209
Phone Number
516-644-6495
Fax Number
516-324-3143
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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