Beth Vardaro Lcsw Pc | |
341 Links Dr E Oceanside NY 11572-5624 | |
(516) 678-1796 | |
(516) 678-1796 |
Full Name | Beth Vardaro Lcsw Pc |
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Speciality | Community/Behavioral Health |
Location | 341 Links Dr E, Oceanside, New York |
Authorized Official Name and Position | Beth Vardaro (PRESIDENT) |
Authorized Official Contact | 5166781796 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Beth Vardaro Lcsw Pc 341 Links Dr E Oceanside NY 11572-5624 Ph: (516) 678-1796 | Beth Vardaro Lcsw Pc 341 Links Dr E Oceanside NY 11572-5624 Ph: (516) 678-1796 |
NPI Number | 1992034748 |
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Provider Enumeration Date | 12/08/2009 |
Last Update Date | 12/08/2009 |
Medicare PECOS PAC ID | 1153466339 |
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Medicare Enrollment ID | O20100301000056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992034748 | NPI | - | NPPES |
02537864 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | R-052901-1 (New York) | Primary |
Provider Name | Beth Vardaro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558435461 PECOS PAC ID: 9739173915 Enrollment ID: I20040412000531 |
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