| Family Service League, Inc. | |
|
790 Park Ave Huntington NY 11743-4516 | |
| (631) 427-3700 | |
| Not Available |
| Full Name | Family Service League, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 790 Park Ave, Huntington, New York |
| Authorized Official Name and Position | Jeffrey Steigman (CHIEF ADMINISTRATIVE AND INNOVATION) |
| Authorized Official Contact | 6314273700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service League, Inc. 790 Park Ave Huntington NY 11743-4516 Ph: (631) 427-3700 | Family Service League, Inc. 790 Park Ave Huntington NY 11743-4516 Ph: (631) 427-3700 |
| NPI Number | 1528093242 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 4284524448 |
|---|---|
| Medicare Enrollment ID | O20040319000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528093242 | NPI | - | NPPES |
| 000659412 | Medicaid | NY | |
| 02996069 | Medicaid | NY | |
| 03079196 | Medicaid | NY | |
| 02212128 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Robert Colucci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306918339 PECOS PAC ID: 0749274041 Enrollment ID: I20040410000047 |
| Provider Name | Shashi Berdia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881794998 PECOS PAC ID: 3971571845 Enrollment ID: I20040918000097 |
| Provider Name | Vaishnavi Vaddigiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053449256 PECOS PAC ID: 3375505696 Enrollment ID: I20041029000333 |
| Provider Name | Victoria Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255484788 PECOS PAC ID: 2860455995 Enrollment ID: I20041109000808 |
| Provider Name | Manjula Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922129626 PECOS PAC ID: 6204890288 Enrollment ID: I20041118000832 |
| Provider Name | Theresa S Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366532335 PECOS PAC ID: 8628005535 Enrollment ID: I20050722000254 |
| Provider Name | Anand D Nadkarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982779864 PECOS PAC ID: 0446281646 Enrollment ID: I20050827000106 |
| Provider Name | Lynn Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457337404 PECOS PAC ID: 8729011135 Enrollment ID: I20050915001094 |
| Provider Name | Erik R Fink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457394421 PECOS PAC ID: 9638187057 Enrollment ID: I20060327000858 |
| Provider Name | Patricia A Hartley-ferrandino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235241555 PECOS PAC ID: 0042217358 Enrollment ID: I20061030000502 |
| Provider Name | Veena S Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770651572 PECOS PAC ID: 4284730417 Enrollment ID: I20070505000014 |
| Provider Name | Francesca Levoci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639253719 PECOS PAC ID: 1153420773 Enrollment ID: I20070622000389 |
| Provider Name | Debra L Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073717765 PECOS PAC ID: 0547354144 Enrollment ID: I20070913000093 |
| Provider Name | Maged S Soliman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003012436 PECOS PAC ID: 0345338059 Enrollment ID: I20071114000079 |
| Provider Name | Bhaskar C Nayak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780644229 PECOS PAC ID: 3678652880 Enrollment ID: I20080429000793 |
| Provider Name | Jeanne M Morris-foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437189925 PECOS PAC ID: 8628149119 Enrollment ID: I20080610000795 |
| Provider Name | Carol S Magee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962651992 PECOS PAC ID: 3577623164 Enrollment ID: I20081201000306 |
| Provider Name | Raghu N Mitra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124049226 PECOS PAC ID: 8022170786 Enrollment ID: I20081215000608 |
| Provider Name | Jessica Aquino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306007562 PECOS PAC ID: 8628135829 Enrollment ID: I20090313000491 |
| Provider Name | Jennifer Ferraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790983708 PECOS PAC ID: 9830247550 Enrollment ID: I20090506000217 |
| Provider Name | Jane S Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790969608 PECOS PAC ID: 3476602921 Enrollment ID: I20090513000083 |
| Provider Name | Sylvia B Freed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174534143 PECOS PAC ID: 4486705506 Enrollment ID: I20090701000499 |
| Provider Name | Cheryl D Meddles-torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295962454 PECOS PAC ID: 6709930811 Enrollment ID: I20090824000329 |
| Provider Name | Viola Quintero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437369196 PECOS PAC ID: 1658411939 Enrollment ID: I20091217000148 |
| Provider Name | Kinga Koreh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376662957 PECOS PAC ID: 9436287406 Enrollment ID: I20100512000600 |
| Provider Name | Mary Rose L Galloy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477574333 PECOS PAC ID: 8325234362 Enrollment ID: I20101202000172 |
| Provider Name | Sally C Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811002868 PECOS PAC ID: 4688858483 Enrollment ID: I20110401000518 |
| Provider Name | Ruxandra C Badescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811023203 PECOS PAC ID: 0244415107 Enrollment ID: I20110420000093 |
| Provider Name | Tiffany M Salzillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073783023 PECOS PAC ID: 3971781709 Enrollment ID: I20110627000676 |
| Provider Name | Theresa L Stavola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801045984 PECOS PAC ID: 8921274895 Enrollment ID: I20111223000005 |
| Provider Name | Philip Pecoraro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972618205 PECOS PAC ID: 9537329305 Enrollment ID: I20120402000490 |
| Provider Name | Tracy Dourdounas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568787752 PECOS PAC ID: 0143481168 Enrollment ID: I20120418000133 |
| Provider Name | Miriam L Pennise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790882397 PECOS PAC ID: 7416103379 Enrollment ID: I20120808000416 |
| Provider Name | Dana Legrande |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326364084 PECOS PAC ID: 5991932642 Enrollment ID: I20131230000878 |
| Provider Name | Sean P Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750635132 PECOS PAC ID: 2769610195 Enrollment ID: I20140110000885 |
| Provider Name | Maria Middendorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184933707 PECOS PAC ID: 0042442691 Enrollment ID: I20140414000167 |
| Provider Name | Rachael E Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720210131 PECOS PAC ID: 5193958544 Enrollment ID: I20140509000365 |
| Provider Name | Vivian Vanessa Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871770800 PECOS PAC ID: 7113140559 Enrollment ID: I20140603001506 |
| Provider Name | Bolanle O Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013160613 PECOS PAC ID: 2163641093 Enrollment ID: I20140908002373 |
| Provider Name | Jennifer T Reardon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346380276 PECOS PAC ID: 2365662442 Enrollment ID: I20141014000293 |
| Provider Name | Valerie J Chamberlain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841625613 PECOS PAC ID: 4880815414 Enrollment ID: I20141024000979 |
| Provider Name | Patricia K Spector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407265127 PECOS PAC ID: 3072838291 Enrollment ID: I20150211000696 |
| Provider Name | Margaret Y Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356573737 PECOS PAC ID: 6608193354 Enrollment ID: I20150318001086 |
| Provider Name | Kathleen M Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750685590 PECOS PAC ID: 7810214079 Enrollment ID: I20150326002002 |
| Provider Name | Linda M Muse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043553712 PECOS PAC ID: 9739408733 Enrollment ID: I20150424000488 |
| Provider Name | Eileen L Mangino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033428511 PECOS PAC ID: 7719295260 Enrollment ID: I20151001002474 |
| Provider Name | Michelle A Forde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174931422 PECOS PAC ID: 1759699986 Enrollment ID: I20151007002329 |
| Provider Name | Megan Marie Conti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851600894 PECOS PAC ID: 5991015380 Enrollment ID: I20151116001365 |
| Provider Name | Jeanine M Warns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336264092 PECOS PAC ID: 0244527778 Enrollment ID: I20160927000307 |
| Provider Name | Pamela A Babcock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043593932 PECOS PAC ID: 9133416548 Enrollment ID: I20160929000442 |
| Provider Name | Cindy Mauzoul Jean-pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114397999 PECOS PAC ID: 5193013415 Enrollment ID: I20161019000655 |
| Provider Name | Daniel V Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184871527 PECOS PAC ID: 7315226719 Enrollment ID: I20161107002094 |
| Provider Name | Barbara L Herrmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851823975 PECOS PAC ID: 2062780943 Enrollment ID: I20170619000019 |
| Provider Name | Tyquitta Perrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467700757 PECOS PAC ID: 9931244431 Enrollment ID: I20170802002599 |
| Provider Name | Michael M Tobin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316450836 PECOS PAC ID: 3476811233 Enrollment ID: I20171227002367 |
| Provider Name | Renata Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023459740 PECOS PAC ID: 6608139563 Enrollment ID: I20180406001479 |
| Provider Name | Gina E Rocco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447792551 PECOS PAC ID: 3173870599 Enrollment ID: I20180717001522 |
| Provider Name | Laura J Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962790790 PECOS PAC ID: 8729338199 Enrollment ID: I20180905002230 |
| Provider Name | Alice E Agostini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982975736 PECOS PAC ID: 9335499383 Enrollment ID: I20180912002112 |
| Provider Name | David V Valdecantos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497241632 PECOS PAC ID: 0042557563 Enrollment ID: I20190122003180 |
| Provider Name | Susan Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740601699 PECOS PAC ID: 6800134644 Enrollment ID: I20190220002505 |
| Provider Name | Beth-anne Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891172227 PECOS PAC ID: 2961736202 Enrollment ID: I20190620001969 |
| Provider Name | Tyler D Madore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639696628 PECOS PAC ID: 1759615792 Enrollment ID: I20190626000516 |
| Provider Name | Marlies Brandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942608716 PECOS PAC ID: 7315272408 Enrollment ID: I20190711001835 |
| Provider Name | Nadia V Cheddie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831521384 PECOS PAC ID: 3072842889 Enrollment ID: I20190904000744 |
| Provider Name | Melissa S Coscia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285871756 PECOS PAC ID: 9335572734 Enrollment ID: I20191125001675 |
| Provider Name | Noreen T Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215359153 PECOS PAC ID: 0143656520 Enrollment ID: I20200203001541 |
| Provider Name | Mary M Kenny-corron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407416118 PECOS PAC ID: 4486083144 Enrollment ID: I20200331002357 |
| Provider Name | Lilian F Taku |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134501216 PECOS PAC ID: 7719316959 Enrollment ID: I20200409000117 |
| Provider Name | Agueda E Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124271853 PECOS PAC ID: 8325479702 Enrollment ID: I20200519002448 |
| Provider Name | Yamith S Soacha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669825055 PECOS PAC ID: 4981026945 Enrollment ID: I20200619000952 |
| Provider Name | Caroline M Bonfanti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619308731 PECOS PAC ID: 5496986168 Enrollment ID: I20200709002334 |
| Provider Name | Anne E Pugliese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740651686 PECOS PAC ID: 6002196946 Enrollment ID: I20201104001448 |
| Provider Name | Frank J Guastella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912445792 PECOS PAC ID: 7315351541 Enrollment ID: I20210130000067 |
| Provider Name | Karyn E Morra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487174355 PECOS PAC ID: 5597170845 Enrollment ID: I20210218000715 |
| Provider Name | Kara Jeanine Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235657420 PECOS PAC ID: 7416206313 Enrollment ID: I20210304002524 |
| Provider Name | Stephanie Durso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518310754 PECOS PAC ID: 7719394741 Enrollment ID: I20210318001293 |
| Provider Name | Michelle L Tighe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912141102 PECOS PAC ID: 3779991716 Enrollment ID: I20210413000145 |
| Provider Name | Kathryn Nesbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346623303 PECOS PAC ID: 8325352180 Enrollment ID: I20210623001738 |
| Provider Name | Haley M Vasilopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750893186 PECOS PAC ID: 2860895695 Enrollment ID: I20210730001047 |
| Provider Name | Carole Renee Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831409416 PECOS PAC ID: 2860892783 Enrollment ID: I20210805000606 |
| Provider Name | Melvin D Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669916615 PECOS PAC ID: 3072875806 Enrollment ID: I20220124000131 |
| Provider Name | Melissa H Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750829800 PECOS PAC ID: 2769875079 Enrollment ID: I20220209002162 |
| Provider Name | Audra Kyrk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821590522 PECOS PAC ID: 1355728684 Enrollment ID: I20220506000859 |
| Provider Name | Leann Ridulfo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902262959 PECOS PAC ID: 1759762107 Enrollment ID: I20220718001067 |
| Provider Name | Vilma Lorena Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033684642 PECOS PAC ID: 0345585600 Enrollment ID: I20220808002011 |
| Provider Name | Sunny B Ridulfo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427679471 PECOS PAC ID: 9830575083 Enrollment ID: I20220926002896 |
| Provider Name | Charlotte R Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730817354 PECOS PAC ID: 2365810843 Enrollment ID: I20221115002671 |
| Provider Name | Tresha D Maragh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134518665 PECOS PAC ID: 9830560788 Enrollment ID: I20230201000266 |
| Provider Name | Marie L. Neptune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164792818 PECOS PAC ID: 6608253257 Enrollment ID: I20230524002273 |
| Provider Name | Astrid B Garrido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578822672 PECOS PAC ID: 6406242130 Enrollment ID: I20230622002717 |
| Provider Name | Dulien Contreras Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508404708 PECOS PAC ID: 8921489907 Enrollment ID: I20230808000427 |
| Provider Name | Danielle Preiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548500945 PECOS PAC ID: 2567811862 Enrollment ID: I20231212002858 |
| Provider Name | Athena A Innes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598377061 PECOS PAC ID: 5294186128 Enrollment ID: I20240104003688 |
| Provider Name | Tiffany Goodell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952932014 PECOS PAC ID: 4880045418 Enrollment ID: I20240109000600 |
| Provider Name | Stephanie Guevara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417588906 PECOS PAC ID: 6709237928 Enrollment ID: I20240111002597 |
| Provider Name | Ashley Godwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043843691 PECOS PAC ID: 6002268067 Enrollment ID: I20240116002271 |
| Provider Name | Annoula Lukas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184293193 PECOS PAC ID: 1153773858 Enrollment ID: I20240118001561 |
| Provider Name | Kristie Mckasty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962923110 PECOS PAC ID: 1951753375 Enrollment ID: I20240122000380 |
| Provider Name | Nicole Flynn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992390611 PECOS PAC ID: 9234581695 Enrollment ID: I20240122001919 |
| Provider Name | Luis F Suarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396197315 PECOS PAC ID: 5294187605 Enrollment ID: I20240122003642 |
| Provider Name | Kaitlyn E Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780155382 PECOS PAC ID: 1850734849 Enrollment ID: I20240207000037 |
| Provider Name | Jackie L Sweeney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841752615 PECOS PAC ID: 5597100271 Enrollment ID: I20240304003599 |
| Provider Name | Sabrina Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902667199 PECOS PAC ID: 1456793843 Enrollment ID: I20240530003728 |
Max Rudansky, Md & Jacques Winter Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 New York Ave, Suite 309, Huntington, NY 11743 Phone: 631-351-1250 Fax: 631-351-1321 | |
Child And Adult Clinical Psychiatry Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Prospect St Ste 110, Huntington, NY 11743 Phone: 631-223-7739 Fax: 855-225-9703 | |
Pederson-krag Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Chester Ct, Huntington, NY 11743 Phone: 631-754-1684 | |
Narayan Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Prospect St Ste 101, Huntington, NY 11743 Phone: 631-268-0009 Fax: 631-268-0009 | |
Tms Medical Of Ny Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Wall St, Ste 302-c, Huntington, NY 11743 Phone: 631-223-7739 Fax: 855-225-9703 | |
Juliana Kanji Psychiatric Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 Park Ave, Suite 101, Huntington, NY 11743 Phone: 631-427-1100 Fax: 631-784-7748 | |
Dr. Shalini Patcha, M.d. P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 E Main St, Huntington, NY 11743 Phone: 631-351-5757 Fax: 631-351-5756 |