| Healthwise Counseling Lcsw, Pllc | |
|
4230 Hempstead Tpke Suite 200 Bethpage NY 11714-5700 | |
| (631) 403-0813 | |
| (516) 509-4263 |
| Full Name | Healthwise Counseling Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4230 Hempstead Tpke, Bethpage, New York |
| Authorized Official Name and Position | Christopher Paul Mazz (OWNER) |
| Authorized Official Contact | 6314030813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthwise Counseling Lcsw, Pllc 4230 Hempstead Tpke Suite 200 Bethpage NY 11714-5700 Ph: (631) 403-0813 | Healthwise Counseling Lcsw, Pllc 4230 Hempstead Tpke Suite 200 Bethpage NY 11714-5700 Ph: (631) 403-0813 |
| NPI Number | 1528482239 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 8022334739 |
|---|---|
| Medicare Enrollment ID | O20150224000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528482239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 080244 (New York) | Primary |
| Provider Name | Christopher P Mazz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932367844 PECOS PAC ID: 5799908323 Enrollment ID: I20140528001753 |
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