| Am Counseling Services Lcsw P.c. | |
|
7600 Jericho Tpke Woodbury NY 11797-1728 | |
| (631) 517-0466 | |
| Not Available |
| Full Name | Am Counseling Services Lcsw P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 7600 Jericho Tpke, Woodbury, New York |
| Authorized Official Name and Position | Altagracia Martinez (PRESIDENT) |
| Authorized Official Contact | 7186666987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Am Counseling Services Lcsw P.c. 22 May St Bay Shore NY 11706-6915 Ph: (718) 666-6987 | Am Counseling Services Lcsw P.c. 7600 Jericho Tpke Woodbury NY 11797-1728 Ph: (631) 517-0466 |
| NPI Number | 1043830565 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Medicare PECOS PAC ID | 3971926247 |
|---|---|
| Medicare Enrollment ID | O20200702001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043830565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Altagracia Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760721088 PECOS PAC ID: 3072891381 Enrollment ID: I20161020001052 |
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