| Discoveries Therapy Lcsw, P.c. | |
|
124 Rt. 112 Ste. C Patchogue NY 11772-1232 | |
| (631) 714-5123 | |
| (631) 714-5124 |
| Full Name | Discoveries Therapy Lcsw, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 124 Rt. 112, Patchogue, New York |
| Authorized Official Name and Position | Elizabeth Quinlan (CEO) |
| Authorized Official Contact | 6319212595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discoveries Therapy Lcsw, P.c. 124 Rt. 112 Ste. C Patchogue NY 11772-1232 Ph: (631) 714-5123 | Discoveries Therapy Lcsw, P.c. 124 Rt. 112 Ste. C Patchogue NY 11772-1232 Ph: (631) 714-5123 |
| NPI Number | 1184922460 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Medicare PECOS PAC ID | 6406008739 |
|---|---|
| Medicare Enrollment ID | O20121212000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184922460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 075160 (New York) | Primary |
| Provider Name | Elizabeth Quinlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902074024 PECOS PAC ID: 6204088537 Enrollment ID: I20130110000563 |
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