Luis Suarez, MHC | |
34 Ontario St, Port Jefferson Station, NY 11776-4349 | |
(631) 428-7639 | |
Not Available |
Full Name | Luis Suarez |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 34 Ontario St, Port Jefferson Station, 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 |
---|---|---|---|
1396197315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | 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 |
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Luis Suarez, MHC 34 Ontario St, Port Jefferson Station, NY 11776-4349 Ph: (631) 428-7639 | Luis Suarez, MHC 34 Ontario St, Port Jefferson Station, NY 11776-4349 Ph: (631) 428-7639 |
Lindsay Herzog, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Hallock Ave Ste 4, Port Jefferson Station, NY 11776 Phone: 631-846-0256 | |
Stephanie Ramunto, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2b Roe Ave, Port Jefferson Station, NY 11776 Phone: 631-388-2420 | |
Mrs. Victoria A Courten, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Jefferson Blvd, Port Jefferson Station, NY 11776 Phone: 631-804-7582 | |
Dr. Michael Angelo Buonomo I, MS.ED.,PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-473-4284 Fax: 631-331-2204 | |
Jessica Loftus, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Howard St, Port Jefferson Station, NY 11776 Phone: 516-308-1260 | |
Erin Harabes, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Wenmore Ln, Port Jefferson Station, NY 11776 Phone: 555-555-5555 | |
Mrs. Suzanne Simeone, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-834-8967 |