| Sole Proprietor | |
|
610 Willis Ave Apt 1f Williston Park NY 11596-1221 | |
| (516) 770-2383 | |
| Not Available |
| Full Name | Sole Proprietor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 610 Willis Ave Apt 1f, Williston Park, New York |
| Authorized Official Name and Position | Brendan Michael Canavan (ABSS) |
| Authorized Official Contact | 5167702383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sole Proprietor 610 Willis Ave Apt 1f Williston Park NY 11596-1221 Ph: (516) 770-2383 | Sole Proprietor 610 Willis Ave Apt 1f Williston Park NY 11596-1221 Ph: (516) 770-2383 |
| NPI Number | 1891187852 |
|---|---|
| Provider Enumeration Date | 02/28/2015 |
| Last Update Date | 02/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891187852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 437022101 (New York) | Primary |
Clear View Marriage And Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hillside Ave Ste D, Williston Park, NY 11596 Phone: 347-829-4021 | |
Jennings Counseling Services, Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Hillside Ave, Suite J, Williston Park, NY 11596 Phone: 516-410-1122 | |
Evelyn Kuntz Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Park Ave, Williston Park, NY 11596 Phone: 516-877-1424 Fax: 516-294-7375 | |
Sjg Psychotherapy Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 626 Willis Ave, Williston Park, NY 11596 Phone: 516-621-2854 Fax: 516-621-2854 | |
Lapis Psych Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Hillside Ave Ste E, Williston Park, NY 11596 Phone: 516-603-0907 | |
Jeanne Hartman, Ph.d., Psychologist, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Hillside Ave, Suite 99l, Williston Park, NY 11596 Phone: 516-294-4810 Fax: 516-294-4810 | |
Thomas Magaldi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Hillside Ave Ste J, Williston Park, NY 11596 Phone: 516-965-1935 |