| Eric Bruno, | |
|
79 Middleville Rd, Northport, NY 11768-2200 | |
| (631) 261-4400 | |
| Not Available |
| Full Name | Eric Bruno |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 79 Middleville Rd, Northport, 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 |
|---|---|---|---|
| 1679708622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 080454 (New York) | Primary |
| Entity Name | Community Counseling & Lcsw Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770819690 PECOS PAC ID: 3577605617 Enrollment ID: O20100127000665 |
| Entity Name | Suffolk Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942726419 PECOS PAC ID: 1355603259 Enrollment ID: O20180312001864 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Bruno, 60 Shinnecock Ln, East Islip, NY 11730-3217 Ph: () - | Eric Bruno, 79 Middleville Rd, Northport, NY 11768-2200 Ph: (631) 261-4400 |
Ingrid Sharon Campbell, L-CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Seaview Ter, Northport, NY 11768 Phone: 631-423-2817 Fax: 631-423-2817 | |
Jeanine Michele Delgado, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Lily Kalata, LMSW, CASAC 2 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Mrs. Carrie Renee Schechner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Cristin Mathiez, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 299 Main St, Suite 2, Northport, NY 11768 Phone: 844-926-4357 | |
Elizabeth Brittman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Mrs. Susan Lee Brenner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 June Ave, Northport, NY 11768 Phone: 631-651-8900 |