| Matthew Daniel Raffaele Lcsw Pc | |
|
170 Little East Neck Rd Suite 2 West Babylon NY 11704-7742 | |
| (516) 993-3688 | |
| Not Available |
| Full Name | Matthew Daniel Raffaele Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 170 Little East Neck Rd, West Babylon, New York |
| Authorized Official Name and Position | Matthew Raffaele (PRESIDENT) |
| Authorized Official Contact | 5169933688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Daniel Raffaele Lcsw Pc 69 Alice Rd West Islip NY 11795-2903 Ph: () - | Matthew Daniel Raffaele Lcsw Pc 170 Little East Neck Rd Suite 2 West Babylon NY 11704-7742 Ph: (516) 993-3688 |
| NPI Number | 1063849347 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 10/11/2015 |
| Medicare PECOS PAC ID | 5799090346 |
|---|---|
| Medicare Enrollment ID | O20150812006890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063849347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 080661 (New York) | Primary |
| Provider Name | Matthew Raffaele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568697050 PECOS PAC ID: 1658507793 Enrollment ID: I20131120001721 |
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