| Doctor Name: | DR. SAGIT VISHNIA |
| NPI Number: | 1013955244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 016204 |
| Business Practice Address: | 55 Nesconset Hwy Suite #2 Port Jefferson Station, NY - 117762631 |
| Business Phone Number: | 5162635160 |
| Business Fax Number: | 6317511278 |
| Mailing Address: | 55 Nesconset Hwy, Suite #2 PORT JEFFERSON STATION |
| State: | NY |
| Postal Code: | 117762631 |
| Phone Number: | 5162635160 |
| Fax Number: | 6317511278 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 08/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 016204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |