Positive Change Psychiatry Pllc

NPI 1265821953 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1265821953
Enumeration Date 01/18/2015
Last Updated 01/18/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KAMIL KAMIL
Position OWNER
Phone (516) 364-6500
Fax (631) 465-9336
Practice Location
175 JERICHO TPKE
SUITE 301
SYOSSET NY, 11791-4532, US
Phone (516) 364-6500
Fax (631) 465-9336
Business Location
220 FOREST DR
JERICHO NY, 11753-2320, US
Phone (516) 364-6500
Fax (631) 465-9336
Toxanomy
Taxonomy Code 2084P0800X
License State New York
License Number 242083
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According to our database, Positive Change Psychiatry Pllc NPI is 1265821953, taxonomy code is 2084P0800X and license number is 242083, license state is located at New York. Positive Change Psychiatry Pllc physically located at 175 Jericho Tpke, Syosset NY, 11791-4532. NPI Number 1033115704 has the healthcare provider type.

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1265821953 NPI number is provided on an as is basis without warranty of any kind. 1265821953 is maintained by the National Plan & Provider Enumeration System. The contents of Positive Change Psychiatry Pllc are for informational purposes only.