| Family & Personal Counseling | |
|
1650 Sycamore Ave Suite 39 Bohemia NY 11716-1738 | |
| (631) 758-8290 | |
| (631) 471-3878 |
| Full Name | Family & Personal Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1650 Sycamore Ave, Bohemia, New York |
| Authorized Official Name and Position | Ronald P Villano (MEMBER) |
| Authorized Official Contact | 6317588290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Personal Counseling 143 Symphony Dr Lake Grove NY 11755-1316 Ph: (631) 758-8290 | Family & Personal Counseling 1650 Sycamore Ave Suite 39 Bohemia NY 11716-1738 Ph: (631) 758-8290 |
| NPI Number | 1720359086 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 05/24/2012 |
| Medicare PECOS PAC ID | 4688938293 |
|---|---|
| Medicare Enrollment ID | O20180508000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720359086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0035021 (New York) | Primary |
| Provider Name | Ronald P Angelone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801008628 PECOS PAC ID: 6103149042 Enrollment ID: I20141229000440 |
| Provider Name | Ronald P Villano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609062462 PECOS PAC ID: 8921362534 Enrollment ID: I20240222003613 |
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