Athena Amelia Innes, | |
55 Horizon Dr, Huntington, NY 11743-4436 | |
(631) 396-2300 | |
Not Available |
Full Name | Athena Amelia Innes |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 55 Horizon Dr, Huntington, 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 |
---|---|---|---|
1598377061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | P105689 (New York) | Primary |
Entity Name | Family Service League Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463 |
Mailing Address | Practice Location Address |
---|---|
Athena Amelia Innes, 158 Ruland Rd, Selden, NY 11784-1840 Ph: (631) 681-4953 | Athena Amelia Innes, 55 Horizon Dr, Huntington, NY 11743-4436 Ph: (631) 396-2300 |
Dana Burton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Horizon Dr, Huntington, NY 11743 Phone: 631-920-8000 | |
Ms. Ashley Noel Ferrufino, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Horizon Dr, Huntington, NY 11743 Phone: 631-396-2300 | |
Natalie Carol Sarra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 New York Ave, Huntington, NY 11743 Phone: 631-240-3401 | |
Carolyn G Newman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Mannetto Ct, Huntington, NY 11743 Phone: 631-880-8478 | |
Miss Stefani Lauren Catanzano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Horizon Dr, Huntington, NY 11743 Phone: 631-920-8030 | |
Steven Bernard Spivak, M.S., C.A.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E Neck Rd, Huntington, NY 11743 Phone: 631-673-6989 | |
Ciara Dasilva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 New York Ave Ste 230, Huntington, NY 11743 Phone: 516-537-8112 |