| Mary Frank Lcsw Psychotherapy Pllc | |
|
12 Wildwood Drive Huntington Station NY 11746 | |
| (516) 395-2935 | |
| Not Available |
| Full Name | Mary Frank Lcsw Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 12 Wildwood Drive, Huntington Station, New York |
| Authorized Official Name and Position | Mary Frank (OWNER) |
| Authorized Official Contact | 5163952935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Frank Lcsw Psychotherapy Pllc 273 Walt Whitman Rd Unit 757 Huntington Station NY 11746-4149 Ph: (516) 395-2935 | Mary Frank Lcsw Psychotherapy Pllc 12 Wildwood Drive Huntington Station NY 11746 Ph: (516) 395-2935 |
| NPI Number | 1235986936 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 3678914306 |
|---|---|
| Medicare Enrollment ID | O20240513003148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235986936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary K Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427385731 PECOS PAC ID: 0547216426 Enrollment ID: I20050323001087 |
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