Carol Pollock, MHC, CASAC-T | |
400 W Main St Ste 300, Riverhead, NY 11901-2813 | |
(631) 369-0104 | |
Not Available |
Full Name | Carol Pollock |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 400 W Main St Ste 300, Riverhead, 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 |
---|---|---|---|
1275115784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (New York) | Secondary |
101YM0800X | Counselor - Mental Health | (New York) | Primary |
Entity Name | Central Nassau Guidance & Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114928462 PECOS PAC ID: 6406747401 Enrollment ID: O20040322000050 |
Mailing Address | Practice Location Address |
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Carol Pollock, MHC, CASAC-T 400 W Main St Ste 300, Riverhead, NY 11901-2813 Ph: () - | Carol Pollock, MHC, CASAC-T 400 W Main St Ste 300, Riverhead, NY 11901-2813 Ph: (631) 369-0104 |
Brianne O'malley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 Roanoke Ave, Riverhead, NY 11901 Phone: 631-255-3657 | |
Dr. Julio Carlos Gonzalez Martinez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Roanoke Ave, Riverhead, NY 11901 Phone: 631-809-2286 | |
Clarissa A Favichia, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1380 Roanoke Ave, 1st Floor, Riverhead, NY 11901 Phone: 631-369-0022 Fax: 631-369-5336 | |
Dr. Jerome David Levin, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 West Main Street, Riverhead, NY 11901 Phone: 631-727-8150 Fax: 631-369-9382 | |
Jacqueline Nova, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 E Main St, Riverhead, NY 11901 Phone: 631-697-4459 | |
Antonio Delano Walcott Jr., MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 Roanoke Ave, Riverhead, NY 11901 Phone: 631-369-0104 |