| Access | |
|
401 Main St Islip NY 11751-3560 | |
| (631) 224-5330 | |
| (631) 224-1206 |
| Full Name | Access |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 401 Main St, Islip, New York |
| Authorized Official Name and Position | Delores Bocklet (DIRECTOR) |
| Authorized Official Contact | 6312245330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access 401 Main St Room 132 Islip NY 11751-3560 Ph: (631) 224-5330 | Access 401 Main St Islip NY 11751-3560 Ph: (631) 224-5330 |
| NPI Number | 1548369143 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548369143 | NPI | - | NPPES |
| 01316081 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 080611082 (New York) | Primary |
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