| Michael Ash Lcsw Pllc | |
|
1273 William Floyd Pkwy Shirley NY 11967-1810 | |
| (646) 261-3215 | |
| Not Available |
| Full Name | Michael Ash Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1273 William Floyd Pkwy, Shirley, New York |
| Authorized Official Name and Position | Michael Ash (OWNER) |
| Authorized Official Contact | 6462613215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ash Lcsw Pllc 1273 William Floyd Pkwy Shirley NY 11967-1810 Ph: () - | Michael Ash Lcsw Pllc 1273 William Floyd Pkwy Shirley NY 11967-1810 Ph: (646) 261-3215 |
| NPI Number | 1619305026 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 10/22/2013 |
| Medicare PECOS PAC ID | 3072749779 |
|---|---|
| Medicare Enrollment ID | O20131203000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619305026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 057950 (New York) | Primary |
| Provider Name | Michael D Ash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386761179 PECOS PAC ID: 0840426540 Enrollment ID: I20131203000913 |
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