David Lesser, | |
7600 Jericho Tpke, Woodbury, NY 11797-1728 | |
(845) 641-9924 | |
Not Available |
Full Name | David Lesser |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 7600 Jericho Tpke, Woodbury, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700324449 | NPI | - | NPPES |
85-0865119 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0889492 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 089814 (New York) | Primary |
Entity Name | Long Island Consultation Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295878577 PECOS PAC ID: 8729068622 Enrollment ID: O20040721001568 |
Mailing Address | Practice Location Address |
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David Lesser, 49 Quebec Dr, Huntington Station, NY 11746-3872 Ph: (845) 641-9924 | David Lesser, 7600 Jericho Tpke, Woodbury, NY 11797-1728 Ph: (845) 641-9924 |
Stephanie Silberman, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 136 Woodbury Rd Ste 103, Woodbury, NY 11797 Phone: 516-509-0933 | |
Mrs. Tatyana Volokitin Pena, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 43 Caumsett Woods Ln, Woodbury, NY 11797 Phone: 347-581-6041 | |
Ellen Theresa Jay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 157 Fox Hollow Rd, Woodbury, NY 11797 Phone: 516-707-8677 | |
Aimee Reifer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 136 Woodbury Rd Ste 103, Woodbury, NY 11797 Phone: 516-345-1935 | |
Ms. Michelle Kane, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Fairbanks Blvd, Woodbury, NY 11797 Phone: 516-367-1087 Fax: 516-367-1782 | |
Dr. Donald S. Cornelius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 136 Woodbury Rd, Suite 103, Woodbury, NY 11797 Phone: 516-692-4055 | |
Mrs. Laurie Ann Kopp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16 Kodiak Drive, Woodbury, NY 11797 Phone: 516-367-8094 Fax: 516-367-8094 |