| Dr Agnelo B Dias, ED D, LCSW | |
|
2174 Hewlett Ave, Suite 212, Merrick, NY 11566-3606 | |
| (516) 513-2678 | |
| (516) 414-1953 |
| Full Name | Dr Agnelo B Dias |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2174 Hewlett Ave, Merrick, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013139716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 73 079925 (New York) | Primary |
| Entity Name | Long Island Psychiatric Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821305368 PECOS PAC ID: 8820271125 Enrollment ID: O20110324000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Agnelo B Dias, ED D, LCSW 595 Dogwood Ave, West Hempstead, NY 11552-3128 Ph: (516) 414-1953 | Dr Agnelo B Dias, ED D, LCSW 2174 Hewlett Ave, Suite 212, Merrick, NY 11566-3606 Ph: (516) 513-2678 |
Mr. Robert F. Mogollon Sr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 124 Webster St, Merrick, NY 11566 Phone: 516-993-6337 | |
Ms. Deborah Bell Cotton, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Richard Ave, Merrick, NY 11566 Phone: 516-379-4345 | |
Mr. Irwin Halpern, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2801 Harbor Rd, Merrick, NY 11566 Phone: 516-546-1353 | |
Mrs. Ilyse C Schonfeld, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Merrick Ave Ste 120, Merrick, NY 11566 Phone: 516-705-8020 Fax: 516-705-8822 | |
Ms. Maureen Lambe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 310 Sycamore Ave, Merrick, NY 11566 Phone: 516-312-8907 Fax: 516-379-5388 | |
Mr. Howard Rothenberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1674 Meadowbrook Rd, Merrick, NY 11566 Phone: 516-223-9318 |