| Nancy A Ivry Lcsw Pc | |
|
136 Woodbury Rd Ste 101c Woodbury NY 11797-1411 | |
| (516) 458-3909 | |
| (516) 308-1190 |
| Full Name | Nancy A Ivry Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 136 Woodbury Rd Ste 101c, Woodbury, New York |
| Authorized Official Name and Position | Nancy A Ivry (PRESIDENT) |
| Authorized Official Contact | 5164583909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy A Ivry Lcsw Pc 90 Briarwood Ln Plainview NY 11803-6404 Ph: (516) 458-3027 | Nancy A Ivry Lcsw Pc 136 Woodbury Rd Ste 101c Woodbury NY 11797-1411 Ph: (516) 458-3909 |
| NPI Number | 1104328988 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 03/07/2018 |
| Medicare PECOS PAC ID | 0547525651 |
|---|---|
| Medicare Enrollment ID | O20180521000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104328988 | NPI | - | NPPES |
| 1487066882 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 086522-1 (New York) | Primary |
| Provider Name | Nancy Ivry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487066882 PECOS PAC ID: 4183989296 Enrollment ID: I20180521000115 |
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