| Illuminating Steps, Llc | |
|
1 Deer Path East Patchogue NY 11772-4616 | |
| (631) 987-3043 | |
| Not Available |
| Full Name | Illuminating Steps, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Deer Path, East Patchogue, New York |
| Authorized Official Name and Position | Renee Lee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6319873043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Steps, Llc 1 Deer Path East Patchogue NY 11772-4616 Ph: () - | Illuminating Steps, Llc 1 Deer Path East Patchogue NY 11772-4616 Ph: (631) 987-3043 |
| NPI Number | 1063861227 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063861227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000145 (New York) | Primary |
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