| Long Island Lcsws Pllc | |
|
350 Jericho Tpke Ste 103 Jericho NY 11753-1317 | |
| (631) 767-9097 | |
| Not Available |
| Full Name | Long Island Lcsws Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 350 Jericho Tpke Ste 103, Jericho, New York |
| Authorized Official Name and Position | James Daconti (OWNER) |
| Authorized Official Contact | 6316066068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Lcsws Pllc 350 Jericho Tpke Ste 103 Jericho NY 11753-1317 Ph: () - | Long Island Lcsws Pllc 350 Jericho Tpke Ste 103 Jericho NY 11753-1317 Ph: (631) 767-9097 |
| NPI Number | 1992414940 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992414940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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