Behavioral Health Medical Practice P.C.

LBN: Behavioral Health Medical Practice P.C.
Behavioral Health Medical Practice P.C. is an health care organization with primary practice located at 240 Patchogue Yaphank Rd Suite 211, East Patchogue NY 11772-4868. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Behavioral Health Medical Practice P.C. can be contacted via phone (631) 758-2815, or through Haggag, Moataz Yousef via phone (631) 758-2815.

Contact Information

Primary practice address
240 Patchogue Yaphank Rd Suite 211 East Patchogue NY 11772-4868
Fax: (631) 206-9299
Website:
Authorized official contact:
Name: Haggag, Moataz Yousef Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 227462 New York

Profile Details

NPI number 1033232467
LBN Legal business name Behavioral Health Medical Practice P.C.
DBA Doing business as
Authorized official Haggag, Moataz Yousef Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033232467 NPPES
New York MEDICAID 02986065

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