Kai Stoll, | |
34 Willowood Dr, Wantagh, NY 11793-1217 | |
(516) 532-8889 | |
Not Available |
Full Name | Kai Stoll |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 34 Willowood Dr, Wantagh, 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 |
---|---|---|---|
1407332042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 094558 (New York) | Primary |
104100000X | Social Worker | (New York) | Secondary |
Entity Name | Epic Long Island |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174563936 PECOS PAC ID: 7315835907 Enrollment ID: O20040305000757 |
Entity Name | South Shore Child Association Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023154507 PECOS PAC ID: 0648550822 Enrollment ID: O20161205001117 |
Mailing Address | Practice Location Address |
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Kai Stoll, 34 Willowood Dr, Wantagh, NY 11793-1217 Ph: (516) 532-8889 | Kai Stoll, 34 Willowood Dr, Wantagh, NY 11793-1217 Ph: (516) 532-8889 |
Gary Pelosi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Dorothy Morse, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Mrs. Melina Fazzolari-napoli, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2446 Woodland Ave, Wantagh, NY 11793 Phone: 516-847-5916 Fax: 516-232-8611 | |
Nancy Keelan, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-221-3030 Fax: 516-221-4160 | |
Valencia Reid, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1259 Wantagh Ave, Wantagh, NY 11793 Phone: 516-262-3772 | |
Carol Golden-cuomo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Vivian Abbate, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Suite, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 |