institution
North Fork Neuropsychology
Mental Health Clinic/Center (Including Community Mental Health Center) in Riverhead, New York
NPI 1407261811

North Fork Neuropsychology is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Riverhead, NY and is specialized in Mental Health (Including Community Mental Health Center). North Fork Neuropsychology practices in Riverhead, NY. The NPI Number for North Fork Neuropsychology is 1407261811 and holds a License No. 019026-1 (New York).

The current practice location address for North Fork Neuropsychology is 633 Roanoke Ave, Riverhead, NY and can be reached out via phone at 631-512-2232 and via fax at 480-247-4658.

Location: 633 Roanoke Ave, Riverhead, NY, 11901-2727
institution
Provider Profile Details
NPI Number
1407261811
Provider Name
North Fork Neuropsychology
Credential
Provider Entity Type
Organization
Address
633 Roanoke Ave, Riverhead, NY, 11901-2727
Phone Number
631-512-2232
Fax Number
480-247-4658
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03319817 05 NY
institution
Provider Business Practice Location Address Details
Address
633 Roanoke Ave
City
State
Zip
11901-2727
Phone Number
631-512-2232
Fax Number
480-247-4658
person
Provider Business Mailing Address Details
Address
633 Roanoke Ave
City
State
Zip
11901-2727
Phone Number
631-512-2232
Fax Number
480-247-4658
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
019026-1 (New York)
Definition
Definition to come...
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