SHELTER ROCK PSYCHIATRIC SERVICES P.C. NPI 1700191293

NPI Information

NPI: 1700191293
Provider Name: SHELTER ROCK PSYCHIATRIC SERVICES, P.C.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
580 SUNRISE HWY
WEST BABYLON, NY
ZIP 11704
Phone: (631) 321-7697
Get Directions

SHELTER ROCK PSYCHIATRIC SERVICES, P.C. is a geriatric psychiatry psychiatry neurology in West Babylon, NY. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. SHELTER ROCK PSYCHIATRIC SERVICES, P.C. NPI is 1700191293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

580 SUNRISE HWY
WEST BABYLON, NY
ZIP 11704-000
Phone: (631) 321-7697
Fax: (631) 321-6140

The provider's authorized official is Jack Nass .
The authorized official title is President and has the following contact phone number (631) 321-7697.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 8/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	128697	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	128697	OTHER	NEW YORK	NYS LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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