| Michael J Smith Jr, PHD | |
|
10 Cedar Ave, Coram, NY 11727-1103 | |
| (631) 807-0143 | |
| Not Available |
| Full Name | Michael J Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 38 Years |
| Location | 10 Cedar Ave, Coram, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871325209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 002180 (New York) | Primary |
| Entity Name | Uplift Behavioral Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629740410 PECOS PAC ID: 4688057086 Enrollment ID: O20260409002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Smith Jr, PHD 10 Cedar Ave, Coram, NY 11727-1103 Ph: (631) 807-0143 | Michael J Smith Jr, PHD 10 Cedar Ave, Coram, NY 11727-1103 Ph: (631) 807-0143 |
Raquel Fernandes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 |
Shannon Tierney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8610 |
Adelowo Amole, MA, LMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8546 Fax: 929-244-4997 |
Marie L Morin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Selvia Ct, Coram, NY 11727 Phone: 516-729-1845 |
Janine Lynn Colasuonno, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8302 |
Joseph Michael Ricciardi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 Fax: 631-920-8501 |
Ms. Frances Atanasio I, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8500 Fax: 631-920-8501 |