Organization
CHILD AND ADULT CLINICAL PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDRA KRUNIC MD (MEDICAL DIRECTOR)
(631) 223-7739
Entity
Organization
Contact information
Practice address
75 PROSPECT ST STE 110, HUNTINGTON, NY 11743-3320
(631) 223-7739
(855) 225-9703
Mailing address
75 PROSPECT ST STE 110, HUNTINGTON, NY 11743-3320
(631) 223-7739
(855) 225-9703
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258783
MD LICENSE
NY
Enumeration date
06/04/2020
Last updated
06/04/2020
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