| Bomo, Inc. | |
|
6800 Jericho Tpke Suite 122w Syosset NY 11791-4436 | |
| (631) 235-3410 | |
| Not Available |
| Full Name | Bomo, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6800 Jericho Tpke, Syosset, New York |
| Authorized Official Name and Position | Maureen a Borkowski (PRESIDENT) |
| Authorized Official Contact | 6315816846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bomo, Inc. 26 Tappan Ave Islip NY 11751-4106 Ph: (631) 581-6846 | Bomo, Inc. 6800 Jericho Tpke Suite 122w Syosset NY 11791-4436 Ph: (631) 235-3410 |
| NPI Number | 1841524253 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841524253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4097 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | R071800-1 (New York) | Primary |
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