The Family Tree Psychiatric & Medical Services
LBN: The Family Tree Psychiatric & Medical Services
The Family Tree Psychiatric & Medical Services is an health care organization with primary practice located at 5225 Nesconset Hwy Ste 46 , Port Jefferson Station NY 11776-2060. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty.
The Family Tree Psychiatric & Medical Services can be contacted via phone (631) 209-1477, or through Colucci, Robert Daniel via phone (631) 209-1477.
Contact Information
Primary practice address
5225 Nesconset Hwy Ste 46
Port Jefferson Station NY 11776-2060
Phone: (631) 209-1477
Fax: (631) 744-3246
Website:
Authorized official contact:
Name: Colucci, Robert Daniel Doctor of Osteopathy (DO)
Phone: (631) 209-1477
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 199981 | New York |
Profile Details
| NPI number | 1427238005 |
|---|---|
| LBN Legal business name | The Family Tree Psychiatric & Medical Services |
| DBA Doing business as | |
| Authorized official | Colucci, Robert Daniel Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Nov 12th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427238005 | NPPES |
| New York | MEDICAID | 02916365 |
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