Provider Demographics
NPI:1073958849
Name:LONG ISLAND BEHAVIORAL HEALTH SOLUTIONS, P.C.
Entity Type:Organization
Organization Name:LONG ISLAND BEHAVIORAL HEALTH SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIONY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-509-6773
Mailing Address - Street 1:6 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1021
Mailing Address - Country:US
Mailing Address - Phone:516-509-6773
Mailing Address - Fax:516-482-6004
Practice Address - Street 1:6 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-1021
Practice Address - Country:US
Practice Address - Phone:516-509-6773
Practice Address - Fax:516-482-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015741103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty