| Jennifer Brent Lcsw Pc | |
|
1777 Veterans Memorial Hwy Ste 14 Islandia NY 11749-1555 | |
| (631) 559-9626 | |
| Not Available |
| Full Name | Jennifer Brent Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1777 Veterans Memorial Hwy Ste 14, Islandia, New York |
| Authorized Official Name and Position | Jennifer Brent (OWNER) |
| Authorized Official Contact | 6315599626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Brent Lcsw Pc 1777 Veterans Memorial Hwy Ste 14 Islandia NY 11749-1555 Ph: (631) 559-9626 | Jennifer Brent Lcsw Pc 1777 Veterans Memorial Hwy Ste 14 Islandia NY 11749-1555 Ph: (631) 559-9626 |
| NPI Number | 1447910344 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 4385170596 |
|---|---|
| Medicare Enrollment ID | O20241211003519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447910344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Giuseppa Brachfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063022614 PECOS PAC ID: 3274069489 Enrollment ID: I20241211003602 |
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