| New York Youth Lcsw Services, Pllc | |
|
85 Wheeler Rd Central Islip NY 11722-2028 | |
| (814) 661-6870 | |
| Not Available |
| Full Name | New York Youth Lcsw Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 85 Wheeler Rd, Central Islip, New York |
| Authorized Official Name and Position | Amy Buehrer (COMPLIANCE OFFICER) |
| Authorized Official Contact | 8146616870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Youth Lcsw Services, Pllc 121 Chanlon Rd New Providence NJ 07974-1543 Ph: (973) 299-9954 | New York Youth Lcsw Services, Pllc 85 Wheeler Rd Central Islip NY 11722-2028 Ph: (814) 661-6870 |
| NPI Number | 1972328201 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972328201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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