Mrs Joan Marie Ryan, LCSW | |
127 Gatelot Ave, Lake Ronkonkoma, NY 11779-2266 | |
(631) 252-5740 | |
Not Available |
Full Name | Mrs Joan Marie Ryan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 127 Gatelot Ave, Lake Ronkonkoma, 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 |
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1932492766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 077909-1 (New York) | Primary |
Entity Name | Senior Options Systems Lcsw Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811905292 PECOS PAC ID: 5092817841 Enrollment ID: O20070224000148 |
Mailing Address | Practice Location Address |
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Mrs Joan Marie Ryan, LCSW 127 Gatelot Ave, Lake Ronkonkoma, NY 11779-2266 Ph: (631) 252-5740 | Mrs Joan Marie Ryan, LCSW 127 Gatelot Ave, Lake Ronkonkoma, NY 11779-2266 Ph: (631) 252-5740 |
Tara Jean Petrungaro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 181 Lorenzo Cir, Lake Ronkonkoma, NY 11779 Phone: 631-708-9309 | |
Fiona Mcbreen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Arlington Rd, Lake Ronkonkoma, NY 11779 Phone: 631-637-1455 | |
Dawn Marie Wigutow, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 27 Uhl St, Lake Ronkonkoma, NY 11779 Phone: 631-877-9184 |