Wayne M. Gurnick Ms, Lcsw P.c. | |
111 Main St Center Moriches NY 11934-1709 | |
(631) 603-7902 | |
Not Available |
Full Name | Wayne M. Gurnick Ms, Lcsw P.c. |
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Speciality | Social Worker |
Location | 111 Main St, Center Moriches, New York |
Authorized Official Name and Position | Wayne Michael Gurnick (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6316037902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wayne M. Gurnick Ms, Lcsw P.c. 2 Ellen Ln Manorville NY 11949-3222 Ph: (631) 878-2109 | Wayne M. Gurnick Ms, Lcsw P.c. 111 Main St Center Moriches NY 11934-1709 Ph: (631) 603-7902 |
NPI Number | 1730427972 |
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Provider Enumeration Date | 01/23/2013 |
Last Update Date | 01/23/2013 |
Medicare PECOS PAC ID | 9335422807 |
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Medicare Enrollment ID | O20170207001195 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730427972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R050891 (New York) | Primary |
Provider Name | Wayne M Gurnick |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760621395 PECOS PAC ID: 0345524930 Enrollment ID: I20170207001166 |
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