| Dragonfly Lcsw, Pllc | |
|
51 Osborne Ave Mount Sinai NY 11766-3134 | |
| (631) 642-3351 | |
| (631) 642-3351 |
| Full Name | Dragonfly Lcsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 51 Osborne Ave, Mount Sinai, New York |
| Authorized Official Name and Position | Ivonne M Romero (SOCIAL WORKER) |
| Authorized Official Contact | 6316423351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragonfly Lcsw, Pllc 51 Osborne Ave Mount Sinai NY 11766-3134 Ph: (631) 642-3351 | Dragonfly Lcsw, Pllc 51 Osborne Ave Mount Sinai NY 11766-3134 Ph: (631) 642-3351 |
| NPI Number | 1639548316 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 8628370194 |
|---|---|
| Medicare Enrollment ID | O20151230002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639548316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ivonne Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477706612 PECOS PAC ID: 1759528128 Enrollment ID: I20151230002155 |
John T. Mather Memorial Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5505 Nesconset Hwy, Mount Sinai, NY 11766 Phone: 631-686-7689 |