NPI: 1073603734 · STONY BROOK, NY 11790 · Adult Mental Health Clinic/Center · NPI assigned 10/13/2006
| Authorized Official | FAIREY, GEORGE (OWNER) |
| NPI Enumeration Date | 10/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $2K |
| 2019 | 21 | $2K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 46 | 39 | $4K |