Hope Tms Medical Practice Pc

NPI 1043562986 - Clinic/Center - 261QM0801X

NPI Details
NPI 1043562986
Enumeration Date 10/02/2012
Last Updated 10/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RENA K RENA
Position MEDICAL DIRECTOR
Phone (631) 509-6111
Fax (631) 509-6112
Practice Location
646 MAIN ST
SUITE 201
PORT JEFFERSON NY, 11777-2235, US
Phone (631) 509-6111
Fax (631) 509-6112
Business Location
646 MAIN ST
SUITE 201
PORT JEFFERSON NY, 11777-2235, US
Phone (631) 509-6111
Fax (631) 509-6112
Toxanomy
Taxonomy Code 261QM0801X
License State New York
License Number 230330
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According to our database, Hope Tms Medical Practice Pc NPI is 1043562986, taxonomy code is 261QM0801X and license number is 230330, license state is located at New York. Hope Tms Medical Practice Pc physically located at 646 Main St, Port Jefferson NY, 11777-2235. NPI Number 1033115704 has the healthcare provider type.

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1043562986 NPI number is provided on an as is basis without warranty of any kind. 1043562986 is maintained by the National Plan & Provider Enumeration System. The contents of Hope Tms Medical Practice Pc are for informational purposes only.