| Mmjz Services, Inc. | |
|
54 Sunnyside Blvd Plainview NY 11803-1517 | |
| (631) 643-6205 | |
| Not Available |
| Full Name | Mmjz Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 54 Sunnyside Blvd, Plainview, New York |
| Authorized Official Name and Position | Mark Zimmerman (PRESIDENT) |
| Authorized Official Contact | 6316436205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmjz Services, Inc. 3 Northcote Dr Melville NY 11747-3912 Ph: (631) 643-6205 | Mmjz Services, Inc. 54 Sunnyside Blvd Plainview NY 11803-1517 Ph: (631) 643-6205 |
| NPI Number | 1407217763 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Medicare PECOS PAC ID | 2769773274 |
|---|---|
| Medicare Enrollment ID | O20160614000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407217763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R029359 (New York) | Primary |
| Provider Name | Janet Zimmerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457624975 PECOS PAC ID: 3173784709 Enrollment ID: I20120409000285 |
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