Organization
FOCUS FEEDBACK PSYCHOLOGICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC
Active
Other names
Focus Feedback, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREAS C MICHAELIDES PHD (OWNER)
(631) 240-3030
Entity
Organization
Contact information
Practice address
358 VETERANS MEMORIAL HWY STE 12, COMMACK, NY 11725
(631) 240-3030
Mailing address
358 VETERANS HWY STE 12, COMMACK, NY 11725-4326
(631) 240-3030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020318
NY
225X00000X
Occupational Therapist
014831
NY
Other
Enumeration date
12/29/2017
Last updated
06/27/2018
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