| Res Company, Inc. | |
|
1461 Lakeland Ave Suite 12 Bohemia NY 11716-2174 | |
| (631) 732-4794 | |
| (631) 732-0355 |
| Full Name | Res Company, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1461 Lakeland Ave, Bohemia, New York |
| Authorized Official Name and Position | Maureen Vollaro (VICE PRESIDENT, BUSINESS OPERATIONS) |
| Authorized Official Contact | 6317324794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Res Company, Inc. 1461 Lakeland Ave Suite 12 Bohemia NY 11716-2174 Ph: (631) 732-4794 | Res Company, Inc. 1461 Lakeland Ave Suite 12 Bohemia NY 11716-2174 Ph: (631) 732-4794 |
| NPI Number | 1972717452 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972717452 | NPI | - | NPPES |
| 03015405 | Medicaid | NY | |
| 02173802 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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