MEDICARE: NASSAU SUFFOLK PSYCHIATRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	221649	NY

General Provider Information

NPI Number	:	1750620035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NASSAU SUFFOLK PSYCHIATRY PC

Provider Business Mailing Address
First Line	:	2502 INGLEWOOD STREET
Second Line	:
City	:	EAST MEADOW
State	:	NY
Zip	:	11554
Country	:	US
Telephone Number	:	516-222-2747
Fax Number	:	516-222-2784

Provider Business Practice Location Address
First Line	:	1975 HEMPSTEAD TURNPIKE
Second Line	:	SUITE 208
City	:	EAST MEADOW
State	:	NY
Zip	:	11554-1758
Country	:	US
Telephone Number	:	516-222-2747
Fax Number	:	516-222-2784

Authorized Official
Title or Position	:	OWNER
Name	:	TAHIRA SIAL
Credential	:	MD
Telephone Number	:	516-222-2747

Provider Enumeration Date	:	02/07/2013
Last Update Date	:	04/15/2026

Similar Medicare Providers

1962693671 — MRS. KELLY ANNE KAISER LMT
Practice Location Address:

1975 HEMPSTEAD TPKE
EAST MEADOW, NY
11554-1758

Practice Phone: 516-794-0414
Practice Fax: 516-794-0435

1285514943 — MINDSET THERAPY LCSW PC
Practice Location Address:

1975 HEMPSTEAD TPKE
EAST MEADOW, NY
11554-1758

Practice Phone: 516-939-8867
Practice Fax:

1124480728 — EMMANUEL OMINI
Practice Location Address:

111 ARBOR MEADOW DR
SICKLERVILLE, NJ
08081-1758

Practice Phone: 609-704-9231
Practice Fax:

1043215510 — TOTAL MEDICAL SERVICES, INC.
Practice Location Address:

1503 WEST 174TH STREET
EAST HAZEL CREST, IL
60429-1758

Practice Phone: 708-335-3775
Practice Fax: 708-335-3778

1053533638 — COMMUNITY PRESENCE, INC.
Practice Location Address:

1758 EAST MIDLAND TRAIL
GRAYSON, KY
41143

Practice Phone: 606-475-9122
Practice Fax: 606-474-6225

1437801602 — MS. SIMONE A LONGORIA LPC
Practice Location Address:

310 FLANDERS RD # 461
EAST LYME, CT
06333-1758

Practice Phone: 860-500-5029
Practice Fax:

Directions to “NASSAU SUFFOLK PSYCHIATRY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.