Fire Island Pines Psychotherapy Lcsw Pllc | |
606 Johnson Ave Ste 9 Bohemia NY 11716-2687 | |
(631) 201-9692 | |
(631) 203-9599 |
Full Name | Fire Island Pines Psychotherapy Lcsw Pllc |
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Speciality | Social Worker - Clinical |
Location | 606 Johnson Ave Ste 9, Bohemia, New York |
Authorized Official Name and Position | Mathew Skrezyna-wunsch (FOUNDER & PSYCHOTHERAPIST) |
Authorized Official Contact | 6312019692 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fire Island Pines Psychotherapy Lcsw Pllc 293 Sunrise Dr Sayville NY 11782-2041 Ph: (631) 201-9692 | Fire Island Pines Psychotherapy Lcsw Pllc 606 Johnson Ave Ste 9 Bohemia NY 11716-2687 Ph: (631) 201-9692 |
NPI Number | 1396571667 |
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Provider Enumeration Date | 09/12/2024 |
Last Update Date | 09/12/2024 |
Certification Date | 09/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396571667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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