Provider Demographics
NPI:1497866636
Name:BIO-BEHAVIORAL PSYCHIATRY PC
Entity Type:Organization
Organization Name:BIO-BEHAVIORAL PSYCHIATRY PC
Other - Org Name:BIO-BEHAVIORAL INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FUGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEZIROGLU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:516-487-7116
Mailing Address - Street 1:935 NORTHERN BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5309
Mailing Address - Country:US
Mailing Address - Phone:516-487-7116
Mailing Address - Fax:
Practice Address - Street 1:935 NORTHERN BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5309
Practice Address - Country:US
Practice Address - Phone:516-487-7116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty