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Contact Information

RENA K FERGUSON, MD
128 OLD TOWN ROAD
STE C & D
SETAUKET, NY11733
 Phone: 631-689-5390
 Fax: 631-689-5395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for RENA K FERGUSON · (Female)

NPI Number 1013082452
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2006
Last updated 12/04/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 230330
  • NY Medicaid 02501137
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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