LONG ISLAND PSYCHIATRIC SERVICES P.C.
Psychiatric at Grand Ave, North Baldwin, NY

License number
New York 241998
Category
Psychiatric
Type
Psychiatry
Owner
Name: MARTHA R ALZAMORA MD
Title: MEDICAL DIRECTOR
Phone: (516) 512-2952
Address
Address
2280 Grand Ave SUITE 207A, North Baldwin, NY 11510
National Provider ID: 1821305368
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LONG ISLAND PSYCHIATRIC SERVICES PC

2280 Grand Ave SUITE 309, Baldwin, NY 11510

Registration:
Jul 30, 2010
State ID:
3979553
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Szymon Hyzak, 2280 Grand Ave SUITE 309, Baldwin, NY 11510 (Physical)
Agent:
United States Corporation Agents, Inc,7014 13 Ave SUITE 202, Brooklyn, NY 11228 (Physical)

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