| Long Island Psychotherapy & Counseling, Lcsw P.c. | |
|
97 Powerhouse Rd Ste 104 Roslyn Heights NY 11577-2046 | |
| (347) 772-8373 | |
| Not Available |
| Full Name | Long Island Psychotherapy & Counseling, Lcsw P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 97 Powerhouse Rd Ste 104, Roslyn Heights, New York |
| Authorized Official Name and Position | Pablo Idez (PRESIDENT) |
| Authorized Official Contact | 3477728373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Psychotherapy & Counseling, Lcsw P.c. 8 Dalton Ln East Northport NY 11731-3909 Ph: (347) 772-8373 | Long Island Psychotherapy & Counseling, Lcsw P.c. 97 Powerhouse Rd Ste 104 Roslyn Heights NY 11577-2046 Ph: (347) 772-8373 |
| NPI Number | 1134660624 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 12/13/2020 |
| Certification Date | 12/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134660624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 063837 (New York) | Primary |
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