Organization
LI ANXIETY CARE
Active
Other names
Long Island AC & R Group LLc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN FUTTERSAK PH.D. (OWNER)
(631) 509-0601
Entity
Organization
Contact information
Practice address
55 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2631
(631) 509-0601
(631) 509-0601
Mailing address
55 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2631
(631) 509-0601
(631) 509-0601
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
010017
NY
Other
Enumeration date
12/29/2008
Last updated
03/03/2009
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