| Wise Women Of New York, Llc | |
|
7 Willow Pond Rd Woodbury NY 11797-2819 | |
| (516) 624-0512 | |
| Not Available |
| Full Name | Wise Women Of New York, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7 Willow Pond Rd, Woodbury, New York |
| Authorized Official Name and Position | Leslie R Shields (PRINCIPAL) |
| Authorized Official Contact | 5166240512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Women Of New York, Llc 7 Willow Pond Rd Woodbury NY 11797-2819 Ph: (516) 624-0512 | Wise Women Of New York, Llc 7 Willow Pond Rd Woodbury NY 11797-2819 Ph: (516) 624-0512 |
| NPI Number | 1861990095 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861990095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R030570 (New York) | Primary |
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