Douglas Edmund Rynkewicz, MA, EDS, LAC | |
795 Woodlane Rd Ste 300, Westampton, NJ 08060-3832 | |
(609) 267-1377 | |
Not Available |
Full Name | Douglas Edmund Rynkewicz |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 795 Woodlane Rd Ste 300, Westampton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922764273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YS0200X | Counselor - School | 1094746 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 37AC00440200 (New Jersey) | Primary |
Entity Name | Legacy Treatment Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730594656 PECOS PAC ID: 0042526899 Enrollment ID: O20150825003854 |
Mailing Address | Practice Location Address |
---|---|
Douglas Edmund Rynkewicz, MA, EDS, LAC 514 Harbour Dr Apt B, Bensalem, PA 19020-6120 Ph: (609) 658-3426 | Douglas Edmund Rynkewicz, MA, EDS, LAC 795 Woodlane Rd Ste 300, Westampton, NJ 08060-3832 Ph: (609) 267-1377 |
Ashley Coralluzzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Ashley D Burks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 856-267-5928 | |
Hayley Hardin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Safa Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Brenda Formanek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Constance Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Kiamarae Mathes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 |