Nichole E Mina, | |
375 E Bay Dr, Long Beach, NY 11561-2350 | |
(516) 897-1000 | |
Not Available |
Full Name | Nichole E Mina |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 375 E Bay Dr, Long Beach, 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 |
---|---|---|---|
1598259269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Clinical Psychassociates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124051925 PECOS PAC ID: 3072404888 Enrollment ID: O20040322001560 |
Entity Name | Modern Psychiatric Nurse Practitioner Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518415983 PECOS PAC ID: 0840570297 Enrollment ID: O20161201000875 |
Mailing Address | Practice Location Address |
---|---|
Nichole E Mina, 50 W Hawthorne Ave, Valley Stream, NY 11580-6220 Ph: (516) 569-6600 | Nichole E Mina, 375 E Bay Dr, Long Beach, NY 11561-2350 Ph: (516) 897-1000 |
Mr. Michael A Harris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 W Beech St, Long Beach, NY 11561 Phone: 516-897-1883 Fax: 516-470-5415 | |
Mr. William John Terenzi, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 W Park Ave, Suite 301, Long Beach, NY 11561 Phone: 516-998-5433 | |
Mrs. Elsbeth H Mahler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 337 E State St, Long Beach, NY 11561 Phone: 516-431-9701 | |
Ms. Dorothy Ellen Lystad, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 Edwards Blvd, Long Beach, NY 11561 Phone: 516-432-7905 | |
Ms. Colleen Michelle Garvey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 26 E Park Ave, Suite 300, Long Beach, NY 11561 Phone: 516-889-0080 Fax: 516-785-4289 | |
Dr. David Roger Lutwin, L.C.S.W., D.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 W Olive St, Long Beach, NY 11561 Phone: 516-889-9351 Fax: 516-889-9351 | |
Ms. Angel Collazo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 Shore Rd Apt 712, Long Beach, NY 11561 Phone: 516-557-6977 |