Dawn Friedland-perez, Lcsw, P.c. | |
8 Roosevelt Ave Port Jefferson Station NY 11776-3337 | |
(631) 736-7707 | |
Not Available |
Full Name | Dawn Friedland-perez, Lcsw, P.c. |
---|---|
Speciality | Social Worker |
Location | 8 Roosevelt Ave, Port Jefferson Station, New York |
Authorized Official Name and Position | Dawn Friedland-perez (LCSW) |
Authorized Official Contact | 6313677077 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dawn Friedland-perez, Lcsw, P.c. 12 Woodstork Dr Mount Sinai NY 11766-3400 Ph: (631) 736-7707 | Dawn Friedland-perez, Lcsw, P.c. 8 Roosevelt Ave Port Jefferson Station NY 11776-3337 Ph: (631) 736-7707 |
NPI Number | 1790711224 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 01/31/2024 |
Certification Date | 01/31/2024 |
Medicare PECOS PAC ID | 2365494861 |
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Medicare Enrollment ID | O20050212000057 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790711224 | NPI | - | NPPES |
02532887 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Dawn Friedland-perez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558365023 PECOS PAC ID: 2961497151 Enrollment ID: I20040416001465 |
Provider Name | Robin B Moeller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215904537 PECOS PAC ID: 5698764884 Enrollment ID: I20040511001794 |
Provider Name | Karolyn S Walker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023219599 PECOS PAC ID: 8527169267 Enrollment ID: I20070724000679 |
Provider Name | Jennifer Blitz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1013031483 PECOS PAC ID: 4981660859 Enrollment ID: I20071119000109 |
Provider Name | Jill C Holstein |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669799227 PECOS PAC ID: 5092900282 Enrollment ID: I20101113000004 |
Provider Name | Justina Coll |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306024682 PECOS PAC ID: 5991947897 Enrollment ID: I20130806000021 |
Provider Name | Audrey Devaney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225662711 PECOS PAC ID: 8325456247 Enrollment ID: I20210414001242 |
Provider Name | Ellen Jean Gordon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780238725 PECOS PAC ID: 0749674786 Enrollment ID: I20220310000464 |
Provider Name | Lisa Lorraine Stiles |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932349982 PECOS PAC ID: 6901285055 Enrollment ID: I20220620001417 |
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