Serenity Zone Lcsw Pllc | |
4025 Austin Blvd Island Park NY 11558-1221 | |
(516) 432-1790 | |
(516) 432-0760 |
Full Name | Serenity Zone Lcsw Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 4025 Austin Blvd, Island Park, New York |
Authorized Official Name and Position | Jeff Cornatzor (SECRETARY) |
Authorized Official Contact | 5164321790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serenity Zone Lcsw Pllc 4025 Austin Blvd Island Park NY 11558-1221 Ph: (516) 432-1790 | Serenity Zone Lcsw Pllc 4025 Austin Blvd Island Park NY 11558-1221 Ph: (516) 432-1790 |
NPI Number | 1457800534 |
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Provider Enumeration Date | 09/29/2016 |
Last Update Date | 09/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457800534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 074680 (New York) | Primary |
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