| Kc Lcsw Pc | |
|
467 Higbie Ln West Islip NY 11795-2240 | |
| (516) 353-3537 | |
| Not Available |
| Full Name | Kc Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 467 Higbie Ln, West Islip, New York |
| Authorized Official Name and Position | Kim Callahan (OWNER) |
| Authorized Official Contact | 5163533537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Lcsw Pc 71 Elizabeth Dr Bethpage NY 11714-6434 Ph: (516) 353-3537 | Kc Lcsw Pc 467 Higbie Ln West Islip NY 11795-2240 Ph: (516) 353-3537 |
| NPI Number | 1356109938 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/09/2024 |
| Certification Date | 03/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356109938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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