NORTH FORK PSYCHIATRY, PLLC
Psychiatric at Atlantic Ave, Greenport, NY

License number
New York 247356
Category
Psychiatric
Type
Psychiatry
License number
New York 247356
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: DOUGLAS K HOVERKAMP M.D., ABPN
Title: CEO, EXECUTIVE CHAIRMAN
Phone: (631) 627-1559
Address
Address
300 Atlantic Ave, Greenport, NY 11944
National Provider ID: 1437474137
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH FORK PSYCHIATRY, PLLC

300 Atlantic Ave, Greenport, NY 11944

Industry:
Medical Doctor's Office
Registration:
Jan 15, 2010
State ID:
3900878
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

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