| New Horizons | |
|
11 Route 111 Smithtown NY 11787-3754 | |
| (631) 656-9550 | |
| Not Available |
| Full Name | New Horizons |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11 Route 111, Smithtown, New York |
| Authorized Official Name and Position | Jonathan Grossman (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6316569550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons 11 Route 111 Smithtown NY 11787-3754 Ph: () - | New Horizons 11 Route 111 Smithtown NY 11787-3754 Ph: (631) 656-9550 |
| NPI Number | 1588298731 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588298731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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