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Organization
SHORE TO SHORE PSYCHIATRY P.C.
Active
Organization
SHORE TO SHORE PSYCHIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ESPOSITO (DIRECTOR OF OPERATIONS)
(631) 538-9053
Entity
Organization
Contact information
Practice address
1660 ROUTE 112 STE C1, PORT JEFFERSON STATION, NY 11776-8057
(631) 403-6917
(631) 938-1006
Mailing address
1660 ROUTE 112 STE C1, PORT JEFFERSON STATION, NY 11776-8057
(631) 403-6917
(631) 938-1006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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