| Heidi Berr Lcsw Pc | |
|
256 Montgomery Ave Oceanside NY 11572-3809 | |
| (516) 764-9896 | |
| Not Available |
| Full Name | Heidi Berr Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 256 Montgomery Ave, Oceanside, New York |
| Authorized Official Name and Position | Heidi Berr (PRESIDENT) |
| Authorized Official Contact | 5167649896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Berr Lcsw Pc 256 Montgomery Ave Oceanside NY 11572-3809 Ph: () - | Heidi Berr Lcsw Pc 256 Montgomery Ave Oceanside NY 11572-3809 Ph: (516) 764-9896 |
| NPI Number | 1679962898 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 07/24/2015 |
| Medicare PECOS PAC ID | 9931411733 |
|---|---|
| Medicare Enrollment ID | O20150708001175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679962898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 041632 (New York) | Primary |
| Provider Name | Heidi Berr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518023688 PECOS PAC ID: 0840502647 Enrollment ID: I20150708001414 |
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