Long Island Neuropsychology, P.C.

LBN: Long Island Neuropsychology, P.C.
Long Island Neuropsychology, P.C. is an health care organization with primary practice located at 290 Hawkins Ave Suite B, Lake Ronkonkoma NY 11779-9600. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Long Island Neuropsychology, P.C. can be contacted via phone (631) 334-7884, or through Bush, Shane S. via phone (631) 334-7884.

Contact Information

Primary practice address
290 Hawkins Ave Suite B Lake Ronkonkoma NY 11779-9600
Phone: (631) 334-7884
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bush, Shane S. PH.D.
Phone: (631) 334-7884

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 012998 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 012998 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 012998 New York
Behavioral Health & Social Service Providers / Forensic 103TF0200X 012998 New York
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 012998 New York

Profile Details

NPI number 1356467419
LBN Legal business name Long Island Neuropsychology, P.C.
DBA Doing business as
Authorized official Bush, Shane S. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Aug 22nd, 2020 - about 4 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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