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Organization
NORTH SHORE PSYCHIATRIC CONSULTANTS PC
Active
Organization
NORTH SHORE PSYCHIATRIC CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DEGORTER (BILLING MANAGER)
(910) 915-9207
Entity
Organization
Contact information
Practice address
180 E MAIN ST STE 302, SMITHTOWN, NY 11787-2811
(631) 265-6868
(631) 265-6890
Mailing address
180 E MAIN ST STE 302, SMITHTOWN, NY 11787-2811
(631) 265-6868
(631) 265-6890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00981388
—
NY
Enumeration date
03/26/2007
Last updated
06/18/2024
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