South Shore Collaborative Psychiatry Np Pllc

Specialty details in registry · Amityville, NY

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At a glance

167 Broadway, Amityville, NY 11701-2782

NPPES record updated Jul 25, 2025. Public records can lag behind changes at a practice.

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Practice location

167 Broadway
Amityville, NY 11701-2782

Additional reported practice locations

200 Carleton Ave
East Islip, NY 117301222
Phone: 6313179480

Professional details: NPI, taxonomy & registry record

NPI1942882246

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 363LP0808X
Enumeration date: Apr 26, 2021
Record updated: Jul 25, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

363LP0808X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

167 Broadway
Amityville, NY 11701-2782

Phone: (631) 317-9480
Fax: (231) 216-7467

Mailing address

167 BROADWAY

AMITYVILLE, NY 117012782

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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