Maureen Vollaro Lcsw Pc | |
16 Cypress Ct Miller Place NY 11764-3050 | |
(631) 742-8729 | |
Not Available |
Full Name | Maureen Vollaro Lcsw Pc |
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Speciality | Clinic/Center |
Location | 16 Cypress Ct, Miller Place, New York |
Authorized Official Name and Position | Maureen Vollaro (OWNER) |
Authorized Official Contact | 6317324794 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maureen Vollaro Lcsw Pc 1461 Lakeland Ave Unit 12 Bohemia NY 11716-2174 Ph: (631) 732-4794 | Maureen Vollaro Lcsw Pc 16 Cypress Ct Miller Place NY 11764-3050 Ph: (631) 742-8729 |
NPI Number | 1497222434 |
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Provider Enumeration Date | 10/29/2018 |
Last Update Date | 10/29/2018 |
Medicare PECOS PAC ID | 6800149915 |
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Medicare Enrollment ID | O20181018002571 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497222434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Maureen Vollaro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164518148 PECOS PAC ID: 5991760464 Enrollment ID: I20041123001035 |
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