Elizabeth Jennifer Fusaro, | |
2171 Jericho Tpke, Commack, NY 11725-2937 | |
(917) 596-1040 | |
Not Available |
Full Name | Elizabeth Jennifer Fusaro |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2171 Jericho Tpke, Commack, 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 |
---|---|---|---|
1659921682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 088033 (New York) | Primary |
Entity Name | Mindful Therapy Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275014136 PECOS PAC ID: 8527306281 Enrollment ID: O20190205003008 |
Mailing Address | Practice Location Address |
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Elizabeth Jennifer Fusaro, 30 Laurel Ave, Glen Cove, NY 11542-1804 Ph: () - | Elizabeth Jennifer Fusaro, 2171 Jericho Tpke, Commack, NY 11725-2937 Ph: (917) 596-1040 |
Anna Palisi-bastone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Endicott Ln, Commack, NY 11725 Phone: 631-838-9151 | |
Mrs. Karen A. Solomon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43 Madder Lake Cir, Commack, NY 11725 Phone: 631-543-2050 Fax: 631-543-2051 | |
Ms. Maya Novok, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6 Romeo Ln, Commack, NY 11725 Phone: 631-786-2142 | |
Mr. Theodore L Hernitche Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 368 Veterans Memorial Hwy, Commack, NY 11725 Phone: 631-863-2499 | |
Mr. Dominick Scalise, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35 Crooked Hill Rd, Commack, NY 11725 Phone: 631-835-6288 | |
Mary Gnieser, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Veterans Memorial Hwy, Suite 12, Commack, NY 11725 Phone: 631-680-4278 | |
Mrs. Yelena Shik, R LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6080 Jericho Tpke, Suite 304, Commack, NY 11725 Phone: 631-374-5668 Fax: 631-499-1163 |