Organization Name: | NORTH FORK PSYCHIATRY, PLLC |
NPI Number: | 1437474137 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS K HOVERKAMP (CEO, EXECUTIVE CHAIRMAN) |
Mailing Address: | 300 Atlantic Ave Greenport |
State: | NY US |
Postal Code: | 119441264 |
Phone Number: | 6316271559 |
Fax Number: | 6214770219 |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 247356 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |