| Mary Ozegovich Lcsw Pc | |
|
6 Suffolk Ln East Islip NY 11730-2210 | |
| (631) 650-5580 | |
| (631) 277-2787 |
| Full Name | Mary Ozegovich Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6 Suffolk Ln, East Islip, New York |
| Authorized Official Name and Position | Mary Ozegovich (OWNER/PRESIDENT) |
| Authorized Official Contact | 6316505580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ozegovich Lcsw Pc 6 Suffolk Ln East Islip NY 11730-2210 Ph: (631) 650-5580 | Mary Ozegovich Lcsw Pc 6 Suffolk Ln East Islip NY 11730-2210 Ph: (631) 650-5580 |
| NPI Number | 1336335579 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335579 | NPI | - | NPPES |
| P575344 | Other | NY | OXFORD HEALTH PLANS |
| 7483559 | Other | NY | GHI NY |
| 082497 | Other | NY | VALUE OPTIONS |
| 045306 | Other | NY | HIP GREATER NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R0453061 (New York) | Primary |
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