Stephen J Gross, | |
74 New York Ave Ste 2, Halesite, NY 11743-2173 | |
(516) 647-5154 | |
(516) 271-3137 |
Full Name | Stephen J Gross |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 74 New York Ave Ste 2, Halesite, 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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1144656273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 091597-01 (New York) | Primary |
Entity Name | Federation Of Organizations For The Ny State Mentally Disabled, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346433307 PECOS PAC ID: 6800823782 Enrollment ID: O20050721001040 |
Mailing Address | Practice Location Address |
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Stephen J Gross, 74 New York Ave Ste 2, Halesite, NY 11743-2173 Ph: (516) 647-5154 | Stephen J Gross, 74 New York Ave Ste 2, Halesite, NY 11743-2173 Ph: (516) 647-5154 |
Patricia Fuchs, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Bay Ave, Halesite, NY 11743 Phone: 631-423-5250 Fax: 631-423-5250 | |
Laureen E. Vizza, R-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 Bay Ave, Halesite, NY 11743 Phone: 631-424-0506 Fax: 631-424-0506 | |
Patricia Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Charleston Dr, Halesite, NY 11743 Phone: 631-424-6077 | |
Ms. Sarah Wilkes Satzman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Ketewomoke Drive, Halesite, NY 11743 Phone: 631-549-5265 |