Provider Demographics
NPI:1982792644
Name:BEHLING, MARY KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:KATHERINE
Last Name:BEHLING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 S JERSEY AVE
Mailing Address - Street 2:SUITE 33
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-2034
Mailing Address - Country:US
Mailing Address - Phone:631-689-2500
Mailing Address - Fax:631-689-5535
Practice Address - Street 1:100 S JERSEY AVE
Practice Address - Street 2:SUITE 33
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-2034
Practice Address - Country:US
Practice Address - Phone:631-689-2500
Practice Address - Fax:631-689-5535
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2013-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1589812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD91801Medicare UPIN
NY01F481Medicare ID - Type Unspecified