Organization
LONG ISLAND SOUND PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA MOADEL MD (OWNER)
(516) 628-7765
Entity
Organization
Contact information
Practice address
45 N STATION PLZ STE 205, GREAT NECK, NY 11021-5031
(516) 628-7765
Mailing address
45 N STATION PLZ STE 205, GREAT NECK, NY 11021-5031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
09/30/2024
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