| Mrs Andrea Joy Moullin-heddle, LCSW | |
|
5 Purdy Ave, East Northport, NY 11731-4501 | |
| (917) 751-7425 | |
| Not Available |
| Full Name | Mrs Andrea Joy Moullin-heddle |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5 Purdy Ave, East 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 |
|---|---|---|---|
| 1184818460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 068239 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 079364 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Andrea Joy Moullin-heddle, LCSW 5 Purdy Ave, East Northport, NY 11731-4501 Ph: (917) 751-7425 | Mrs Andrea Joy Moullin-heddle, LCSW 5 Purdy Ave, East Northport, NY 11731-4501 Ph: (917) 751-7425 |
Ms. Beth Tipperman, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 554 Larkfield Rd, East Northport, NY 11731 Phone: 516-594-0247 Fax: 718-830-9088 | |
Dr. Elizabeth Ann Eckhardt, LCSW, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28 Terrace Dr, East Northport, NY 11731 Phone: 516-616-3296 Fax: 631-262-0591 | |
Diane K Henry, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 554 Larkfield Rd, Ste 10c, East Northport, NY 11731 Phone: 631-923-8392 | |
Ms. Vilma E, Matos, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39 Georgia St, East Northport, NY 11731 Phone: 631-807-2822 Fax: 631-262-0823 | |
Maedine Lucy Yee, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 68 Grover Ln, East Northport, NY 11731 Phone: 631-645-5332 | |
Jane Canfora, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Remsen St, East Northport, NY 11731 Phone: 631-513-1375 Fax: 631-266-2412 |