| Dibiase Counseling Lcsw, P.c. | |
|
627 Broadway Ste 200 Massapequa NY 11758-5031 | |
| (516) 308-1078 | |
| Not Available |
| Full Name | Dibiase Counseling Lcsw, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 627 Broadway Ste 200, Massapequa, New York |
| Authorized Official Name and Position | Nicole Dibiase (OWNER) |
| Authorized Official Contact | 5163081078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dibiase Counseling Lcsw, P.c. 627 Broadway Ste 200 Massapequa NY 11758-5031 Ph: (516) 308-1078 | Dibiase Counseling Lcsw, P.c. 627 Broadway Ste 200 Massapequa NY 11758-5031 Ph: (516) 308-1078 |
| NPI Number | 1558125419 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558125419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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