| Irene Victoria Bautista, BA PSYCHOLOGY | |
|
161 E Main St, Smithtown, NY 11787-2879 | |
| (631) 360-7578 | |
| Not Available |
| Full Name | Irene Victoria Bautista |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 161 E Main St, Smithtown, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114523479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Victoria Bautista, BA PSYCHOLOGY 161 E Main St, Smithtown, NY 11787-2879 Ph: (631) 360-7578 | Irene Victoria Bautista, BA PSYCHOLOGY 161 E Main St, Smithtown, NY 11787-2879 Ph: (631) 360-7578 |
Mr. Kevfoy Lenroy Fletcher, MASTERS IN SOCIAL WK Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Route 111, Smithtown, NY 11787 Phone: 631-920-8303 Fax: 631-920-8463 | |
Nicole Marie Corvaia, ATR. LCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 E Main St, Smithtown, NY 11787 Phone: 631-360-7578 | |
Miss Elizabeth Susan Pullara, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 E Main St, Smithtown, NY 11787 Phone: 631-360-7578 | |
Amanda Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 496 Smithtown Byp, Suite 304, Smithtown, NY 11787 Phone: 631-877-6777 | |
Melanie G Isles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Ny-111, Smithtown, NY 11787 Phone: 631-656-9550 | |
Kristin M Doran, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 E Main St, Smithtown, NY 11787 Phone: 631-360-7578 | |
Nicholas Anthony Califano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 E Main St, Smithtown, NY 11787 Phone: 631-360-7578 Fax: 631-360-7687 |