| Long Island Therapy Services Lcsw Pc | |
|
75 Prospect St Suite 109 Huntington NY 11743-3382 | |
| (631) 662-0160 | |
| Not Available |
| Full Name | Long Island Therapy Services Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 75 Prospect St, Huntington, New York |
| Authorized Official Name and Position | Monique Artus (DIRECTOR) |
| Authorized Official Contact | 6316620160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Therapy Services Lcsw Pc 17 Ingersoll St Huntington Station NY 11746-3037 Ph: (631) 662-0160 | Long Island Therapy Services Lcsw Pc 75 Prospect St Suite 109 Huntington NY 11743-3382 Ph: (631) 662-0160 |
| NPI Number | 1750654083 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Medicare PECOS PAC ID | 5193000362 |
|---|---|
| Medicare Enrollment ID | O20170330002014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750654083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 054012-R (New York) | Primary |
| Provider Name | Monique A Artus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124248364 PECOS PAC ID: 6002191277 Enrollment ID: I20170330002124 |
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