Discoveries Therapy Lcsw, P.c. | |
124 Rt. 112 Ste. C Patchogue NY 11772-1232 | |
(631) 714-5123 | |
(631) 714-5124 |
Full Name | Discoveries Therapy Lcsw, P.c. |
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Speciality | Social Worker |
Location | 124 Rt. 112, Patchogue, New York |
Authorized Official Name and Position | Elizabeth Quinlan (CEO) |
Authorized Official Contact | 6319212595 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Discoveries Therapy Lcsw, P.c. 124 Rt. 112 Ste. C Patchogue NY 11772-1232 Ph: (631) 714-5123 | Discoveries Therapy Lcsw, P.c. 124 Rt. 112 Ste. C Patchogue NY 11772-1232 Ph: (631) 714-5123 |
NPI Number | 1184922460 |
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Provider Enumeration Date | 03/10/2011 |
Last Update Date | 03/10/2011 |
Medicare PECOS PAC ID | 6406008739 |
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Medicare Enrollment ID | O20121212000288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184922460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 075160 (New York) | Primary |
Provider Name | Elizabeth Quinlan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902074024 PECOS PAC ID: 6204088537 Enrollment ID: I20130110000563 |
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