Torres Counseling Lcsw, P.c. | |
94 W Main St Ste 200 Bay Shore NY 11706-8365 | |
(631) 252-2820 | |
(631) 225-1789 |
Full Name | Torres Counseling Lcsw, P.c. |
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Speciality | Clinic/Center |
Location | 94 W Main St Ste 200, Bay Shore, New York |
Authorized Official Name and Position | Daisy Torres (OWNER) |
Authorized Official Contact | 6312522820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Torres Counseling Lcsw, P.c. 557 18th St West Babylon NY 11704-2205 Ph: (631) 252-2820 | Torres Counseling Lcsw, P.c. 94 W Main St Ste 200 Bay Shore NY 11706-8365 Ph: (631) 252-2820 |
NPI Number | 1366955486 |
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Provider Enumeration Date | 11/11/2017 |
Last Update Date | 11/12/2019 |
Medicare PECOS PAC ID | 7810239829 |
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Medicare Enrollment ID | O20190423001250 |
Identifier | Type | State | Issuer |
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1366955486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 081869-1 (New York) | Primary |
Provider Name | Daisy Torres |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295178408 PECOS PAC ID: 0941529382 Enrollment ID: I20150506000681 |
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