| Eb Licensed Clinical Social Work Services, Pllc | |
|
65 Froehlich Farm Blvd # 812w Woodbury NY 11797-2926 | |
| (516) 587-4312 | |
| Not Available |
| Full Name | Eb Licensed Clinical Social Work Services, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 65 Froehlich Farm Blvd # 812w, Woodbury, New York |
| Authorized Official Name and Position | Sing Kit Keith Chan (MANAGER) |
| Authorized Official Contact | 9173049203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eb Licensed Clinical Social Work Services, Pllc 301 Redmont Rd West Hempstead NY 11552-3025 Ph: (516) 587-4312 | Eb Licensed Clinical Social Work Services, Pllc 65 Froehlich Farm Blvd # 812w Woodbury NY 11797-2926 Ph: (516) 587-4312 |
| NPI Number | 1407680648 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407680648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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