| Gina Bodnar Lcsw P.c | |
|
811 W Jericho Tpke Ste 203e Smithtown NY 11787-3220 | |
| (631) 487-2633 | |
| Not Available |
| Full Name | Gina Bodnar Lcsw P.c |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 811 W Jericho Tpke Ste 203e, Smithtown, New York |
| Authorized Official Name and Position | Gina Greco (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6314872633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Bodnar Lcsw P.c 17 Cliftwood Pl Kings Park NY 11754-4010 Ph: (631) 487-4099 | Gina Bodnar Lcsw P.c 811 W Jericho Tpke Ste 203e Smithtown NY 11787-3220 Ph: (631) 487-2633 |
| NPI Number | 1609438258 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 01/01/2024 |
| Certification Date | 01/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609438258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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