| Mary Anderson Lcsw Pc | |
|
9 Baywood Ln Bayport NY 11705-1727 | |
| (631) 941-9494 | |
| (631) 730-7796 |
| Full Name | Mary Anderson Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9 Baywood Ln, Bayport, New York |
| Authorized Official Name and Position | Mary Anderson (OWNER) |
| Authorized Official Contact | 6319419494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Anderson Lcsw Pc 9 Baywood Ln Bayport NY 11705-1727 Ph: () - | Mary Anderson Lcsw Pc 9 Baywood Ln Bayport NY 11705-1727 Ph: (631) 941-9494 |
| NPI Number | 1508505645 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508505645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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