Organization
HOPE TMS MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENA K FERGUSON M.D. (MEDICAL DIRECTOR)
(631) 509-6111
Entity
Organization
Contact information
Practice address
646 MAIN ST, SUITE 201, PORT JEFFERSON, NY 11777-2235
(631) 509-6111
(631) 509-6112
Mailing address
646 MAIN ST, SUITE 201, PORT JEFFERSON, NY 11777-2235
(631) 509-6111
(631) 509-6112
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
230330
NY
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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