| Mella Clancy-schifilliti Lcsw Pc | |
|
6800 Jericho Tpke Ste 120w Syosset NY 11791-4445 | |
| (917) 940-9980 | |
| Not Available |
| Full Name | Mella Clancy-schifilliti Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 6800 Jericho Tpke Ste 120w, Syosset, New York |
| Authorized Official Name and Position | Mella Clancy-schifilliti (LCSW) |
| Authorized Official Contact | 9179409980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mella Clancy-schifilliti Lcsw Pc 4230 Douglaston Pkwy Apt 3h Douglaston NY 11363-1511 Ph: () - | Mella Clancy-schifilliti Lcsw Pc 6800 Jericho Tpke Ste 120w Syosset NY 11791-4445 Ph: (917) 940-9980 |
| NPI Number | 1639749153 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 05/25/2021 |
| Medicare PECOS PAC ID | 1759784424 |
|---|---|
| Medicare Enrollment ID | O20210720000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639749153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mella Clancy Schifilliti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033480744 PECOS PAC ID: 8325326713 Enrollment ID: I20210720000997 |
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