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Organization
NORTH FORK PSYCHIATRY, PLLC
Active
Organization
NORTH FORK PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K HOVERKAMP M.D., ABPN (CEO, EXECUTIVE CHAIRMAN)
(631) 627-1559
Entity
Organization
Contact information
Practice address
300 ATLANTIC AVE, GREENPORT, NY 11944-1264
(631) 627-1559
(621) 477-0219
Mailing address
300 ATLANTIC AVE, GREENPORT, NY 11944-1264
(631) 627-1559
(621) 477-0219
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
247356
NY
2084P0804X
Child & Adolescent Psychiatry Physician
247356
NY
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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