| Jeanine M Fischer Phd Lcsw Pc | |
|
68 W Main St Ste 9 Oyster Bay NY 11771-2238 | |
| (516) 624-3490 | |
| Not Available |
| Full Name | Jeanine M Fischer Phd Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 68 W Main St Ste 9, Oyster Bay, New York |
| Authorized Official Name and Position | Jeanine Fischer (OWNER) |
| Authorized Official Contact | 5166243490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine M Fischer Phd Lcsw Pc 68 W Main St Ste 9 Oyster Bay NY 11771-2238 Ph: (516) 624-3490 | Jeanine M Fischer Phd Lcsw Pc 68 W Main St Ste 9 Oyster Bay NY 11771-2238 Ph: (516) 624-3490 |
| NPI Number | 1497459945 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 4385095058 |
|---|---|
| Medicare Enrollment ID | O20240106000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497459945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeanine M Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891859765 PECOS PAC ID: 0345239752 Enrollment ID: I20040511000481 |
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