| Pick Your Pathway Inc | |
|
10 Hickory St Central Islip NY 11722-4704 | |
| (631) 335-9573 | |
| Not Available |
| Full Name | Pick Your Pathway Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 Hickory St, Central Islip, New York |
| Authorized Official Name and Position | Kellie Martin (OWNER) |
| Authorized Official Contact | 6313359573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pick Your Pathway Inc 10 Hickory St Central Islip NY 11722-4704 Ph: (631) 335-9573 | Pick Your Pathway Inc 10 Hickory St Central Islip NY 11722-4704 Ph: (631) 335-9573 |
| NPI Number | 1588371215 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588371215 | NPI | - | NPPES |
| 04932261 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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