Jason Diana Lcsw | |
189 Wheatley Road Brookville NY 11545 | |
(516) 569-6600 | |
Not Available |
Full Name | Jason Diana Lcsw |
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Speciality | Social Worker - Clinical |
Location | 189 Wheatley Road, Brookville, New York |
Authorized Official Name and Position | Jason Steven Diana (SOCIAL WORKER) |
Authorized Official Contact | 5165577510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jason Diana Lcsw 1072 Johnston Ave Wantagh NY 11793 Ph: (516) 557-7510 | Jason Diana Lcsw 189 Wheatley Road Brookville NY 11545 Ph: (516) 569-6600 |
NPI Number | 1942807276 |
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Provider Enumeration Date | 10/09/2020 |
Last Update Date | 10/30/2024 |
Certification Date | 10/30/2024 |
Identifier | Type | State | Issuer |
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1942807276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |