| Heather Kramer Lcsw Pc | |
|
91 E Main St Bay Shore NY 11706-8305 | |
| (631) 450-2566 | |
| Not Available |
| Full Name | Heather Kramer Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 91 E Main St, Bay Shore, New York |
| Authorized Official Name and Position | Heather Kramer (OWNER) |
| Authorized Official Contact | 6314502566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Kramer Lcsw Pc 10 Holly Dr Bay Shore NY 11706-5517 Ph: (631) 450-2566 | Heather Kramer Lcsw Pc 91 E Main St Bay Shore NY 11706-8305 Ph: (631) 450-2566 |
| NPI Number | 1790507051 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 3971038159 |
|---|---|
| Medicare Enrollment ID | O20241125002546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790507051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heather A Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912499534 PECOS PAC ID: 9739568437 Enrollment ID: I20220627003431 |
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