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107 S Country Rd Bellport NY 11713-2523 | |
(855) 417-2486 | |
Not Available |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 107 S Country Rd, Bellport, New York |
Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
Authorized Official Contact | 4017703813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 772 Mc2295 Woonsocket RI 02895-0784 Ph: () - | 107 S Country Rd Bellport NY 11713-2523 Ph: (855) 417-2486 |
NPI Number | 1154076057 |
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Provider Enumeration Date | 02/18/2022 |
Last Update Date | 07/24/2024 |
Certification Date | 07/24/2024 |
Identifier | Type | State | Issuer |
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1154076057 | NPI | - | NPPES |
Erena Digonis Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 926 S Country Rd, Bellport, NY 11713 Phone: 917-750-4811 |