| Sjg Psychotherapy Inc | |
|
626 Willis Ave Williston Park NY 11596 | |
| (516) 621-2854 | |
| (516) 621-2854 |
| Full Name | Sjg Psychotherapy Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 626 Willis Ave, Williston Park, New York |
| Authorized Official Name and Position | Susan Guida (PRESIDENT) |
| Authorized Official Contact | 5166212854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjg Psychotherapy Inc 43 Dogwood Road Albertson NY 11507 Ph: (516) 621-2854 | Sjg Psychotherapy Inc 626 Willis Ave Williston Park NY 11596 Ph: (516) 621-2854 |
| NPI Number | 1437207842 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437207842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R069724 1 (New York) | Primary |
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