DR. EDWARD JOHN BARNOSKI PH.D.
Clinical Neuropsychologist
Patchogue, New York
Provider NPI: 1932134087
Provider Information:DR. EDWARD JOHN BARNOSKI PH.D.
Gender: M
Sole Proprietor
Practice Location:
77 MEDFORD AVE STE D PATCHOGUE, NY 11772 US
Tel: 631-366-3369 Fax: 631-366-3369
Business Mailing Address:
77 MEDFORD AVE STE D PATCHOGUE, NY 11772 US
Tel: 631-366-3369 Fax: 631-366-2043
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NY | 011687-1 |
N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | NY | 011687-1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
01503557 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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