| The Well Of Truth, Inc. | |
|
105 N Cambridge St Malverne NY 11565-2151 | |
| (516) 887-4614 | |
| (516) 887-4686 |
| Full Name | The Well Of Truth, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 105 N Cambridge St, Malverne, New York |
| Authorized Official Name and Position | Paul Ammendola (PRESIDENT/CEO/COUNSELOR) |
| Authorized Official Contact | 5168874614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Of Truth, Inc. 105 N Cambridge St Malverne NY 11565-2151 Ph: (516) 887-4614 | The Well Of Truth, Inc. 105 N Cambridge St Malverne NY 11565-2151 Ph: (516) 887-4614 |
| NPI Number | 1245895424 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 7618301425 |
|---|---|
| Medicare Enrollment ID | O20200103001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245895424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paul Ammendola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841585122 PECOS PAC ID: 5193002152 Enrollment ID: I20170501002124 |
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