| Anne Liblich Lcsw Pc | |
|
107 Northern Blvd Ste 300 Great Neck NY 11021-4309 | |
| (516) 472-7559 | |
| Not Available |
| Full Name | Anne Liblich Lcsw Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 107 Northern Blvd Ste 300, Great Neck, New York |
| Authorized Official Name and Position | Anne Liblich (OWNER) |
| Authorized Official Contact | 5163027719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Liblich Lcsw Pc 107 Northern Blvd Ste 300 Great Neck NY 11021-4309 Ph: (516) 472-7559 | Anne Liblich Lcsw Pc 107 Northern Blvd Ste 300 Great Neck NY 11021-4309 Ph: (516) 472-7559 |
| NPI Number | 1184249260 |
|---|---|
| Provider Enumeration Date | 06/14/2020 |
| Last Update Date | 06/14/2020 |
| Certification Date | 06/14/2020 |
| Medicare PECOS PAC ID | 4486070406 |
|---|---|
| Medicare Enrollment ID | O20200820001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184249260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Anne Liblich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700144540 PECOS PAC ID: 8325314743 Enrollment ID: I20171030001206 |
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