| Great Neck Counseling, Lcsw, Pllc | |
|
445 Northern Blvd Suite 12 Great Neck NY 11021-4820 | |
| (516) 625-1617 | |
| (516) 625-1617 |
| Full Name | Great Neck Counseling, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 445 Northern Blvd, Great Neck, New York |
| Authorized Official Name and Position | Aviva Zigelman (OWNER) |
| Authorized Official Contact | 5166251617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Neck Counseling, Lcsw, Pllc 10 Hilltop Rd Albertson NY 11507-1038 Ph: (516) 625-1617 | Great Neck Counseling, Lcsw, Pllc 445 Northern Blvd Suite 12 Great Neck NY 11021-4820 Ph: (516) 625-1617 |
| NPI Number | 1609248467 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Medicare PECOS PAC ID | 3577867027 |
|---|---|
| Medicare Enrollment ID | O20160204000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609248467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R019157-1 (New York) | Primary |
| Provider Name | Aviva Zigelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740262310 PECOS PAC ID: 7618900325 Enrollment ID: I20050914000079 |
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