Organization
FERGUSON AND PITCH TMS MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENA FERGUSON M.D. (OWNER)
(631) 509-6111
Entity
Organization
Contact information
Practice address
1739-A NORTH OCEAN AVE, MEDFORD, NY 11763-2683
(631) 509-6111
(631) 509-6112
Mailing address
646 MAIN STREET, SUITE 201, PORT JEFFERSON, NY 11777-2203
(631) 509-6111
(631) 509-6112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
03/18/2016
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