| Kerri Kosloff Lcsw Pllc | |
|
17 E Carver St Huntington NY 11743-3409 | |
| (631) 609-0754 | |
| (631) 673-5435 |
| Full Name | Kerri Kosloff Lcsw Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 17 E Carver St, Huntington, New York |
| Authorized Official Name and Position | Kerri Kosloff (OWNER) |
| Authorized Official Contact | 6316090754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri Kosloff Lcsw Pllc 17 E Carver St Huntington NY 11743-3409 Ph: (631) 609-0754 | Kerri Kosloff Lcsw Pllc 17 E Carver St Huntington NY 11743-3409 Ph: (631) 609-0754 |
| NPI Number | 1821851577 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 9335589654 |
|---|---|
| Medicare Enrollment ID | O20240502002667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821851577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kerri Lynn Kosloff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932401643 PECOS PAC ID: 5496085847 Enrollment ID: I20190926003313 |
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