Long Island Counseling Center | |
510 Hempstead Tpke Suite 202-204 West Hempstead NY 11552-1147 | |
(516) 437-6050 | |
(516) 437-6304 |
Full Name | Long Island Counseling Center |
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Speciality | Clinic/Center |
Location | 510 Hempstead Tpke, West Hempstead, New York |
Authorized Official Name and Position | Mary Ann Vassallo (CFO) |
Authorized Official Contact | 5167460350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Long Island Counseling Center 100 E Old Country Rd Mineola NY 11501-4614 Ph: (516) 746-0350 | Long Island Counseling Center 510 Hempstead Tpke Suite 202-204 West Hempstead NY 11552-1147 Ph: (516) 437-6050 |
NPI Number | 1568546232 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 05/07/2009 |
Medicare PECOS PAC ID | 4587554928 |
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Medicare Enrollment ID | O20040318000697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568546232 | NPI | - | NPPES |
01666971 | Medicaid | NY |
Provider Name | Thomas F Jan |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1871685404 PECOS PAC ID: 8123931631 Enrollment ID: I20031111000215 |
Provider Name | Lisa Stern |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740223213 PECOS PAC ID: 8325058472 Enrollment ID: I20060503000591 |
Provider Name | Bonnie Latman Levine |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760569081 PECOS PAC ID: 3678679800 Enrollment ID: I20070504000464 |
Provider Name | Marcos D Martorano |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306926092 PECOS PAC ID: 8729126420 Enrollment ID: I20091118000364 |
Provider Name | Joshua L Frank |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043437445 PECOS PAC ID: 4981762804 Enrollment ID: I20101207001226 |
Provider Name | Peter S Gelfand |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639252299 PECOS PAC ID: 5991963423 Enrollment ID: I20120229000740 |
Provider Name | Elmer Jones Elma |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255747184 PECOS PAC ID: 1951628031 Enrollment ID: I20150330001512 |
Provider Name | Lawrence P Kaminsky |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730655036 PECOS PAC ID: 1850635418 Enrollment ID: I20181207002436 |
Provider Name | Eileen Rivera |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174990071 PECOS PAC ID: 9234479213 Enrollment ID: I20190329001198 |
Provider Name | Nicholas Dipietro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710434584 PECOS PAC ID: 5597164855 Enrollment ID: I20210519001068 |
Provider Name | Dede E Echitey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821474412 PECOS PAC ID: 8426366212 Enrollment ID: I20220615002151 |
Provider Name | Jennifer Scheck |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568837151 PECOS PAC ID: 6406223031 Enrollment ID: I20221110001012 |
Provider Name | Elizabeth M Ferrari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811199490 PECOS PAC ID: 0143658625 Enrollment ID: I20230905001481 |
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