Abby Leefer, Licensed Clinical Social Worker, Pc | |
710 Main St Port Jefferson NY 11777-2278 | |
(631) 928-9808 | |
Not Available |
Full Name | Abby Leefer, Licensed Clinical Social Worker, Pc |
---|---|
Speciality | Social Worker |
Location | 710 Main St, Port Jefferson, New York |
Authorized Official Name and Position | Donna Labriola (BILLING MANAGER) |
Authorized Official Contact | 6315536360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Abby Leefer, Licensed Clinical Social Worker, Pc 35 Puritan Path Port Jefferson NY 11777-1456 Ph: (631) 928-9808 | Abby Leefer, Licensed Clinical Social Worker, Pc 710 Main St Port Jefferson NY 11777-2278 Ph: (631) 928-9808 |
NPI Number | 1417575721 |
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Provider Enumeration Date | 07/13/2020 |
Last Update Date | 07/13/2020 |
Certification Date | 07/13/2020 |
Medicare PECOS PAC ID | 8426458084 |
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Medicare Enrollment ID | O20210618000616 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417575721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Abby Leefer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003888413 PECOS PAC ID: 9032337498 Enrollment ID: I20140826002137 |
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