| Stephen J Gross, | |
|
74 New York Ave Ste 2, Halesite, NY 11743-2173 | |
| (516) 647-5154 | |
| (516) 271-3137 |
| Full Name | Stephen J Gross |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 74 New York Ave Ste 2, Halesite, 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 |
|---|---|---|---|
| 1144656273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 091597-01 (New York) | Primary |
| Entity Name | Federation Of Organizations For The Ny State Mentally Disabled, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346433307 PECOS PAC ID: 6800823782 Enrollment ID: O20050721001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Gross, 18 Fairmount St, Huntington, NY 11743-3502 Ph: (516) 647-5154 | Stephen J Gross, 74 New York Ave Ste 2, Halesite, NY 11743-2173 Ph: (516) 647-5154 |
Patricia Fuchs, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Bay Ave, Halesite, NY 11743 Phone: 631-423-5250 Fax: 631-423-5250 | |
Laureen E. Vizza, R-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 Bay Ave, Halesite, NY 11743 Phone: 631-424-0506 Fax: 631-424-0506 | |
Patricia Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Charleston Dr, Halesite, NY 11743 Phone: 631-424-6077 | |
Ms. Sarah Wilkes Satzman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Ketewomoke Drive, Halesite, NY 11743 Phone: 631-549-5265 |