| Long Island Wellness Associates Inc. | |
|
8 Camelot Ln Saint James NY 11780-3104 | |
| (631) 509-0714 | |
| Not Available |
| Full Name | Long Island Wellness Associates Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8 Camelot Ln, Saint James, New York |
| Authorized Official Name and Position | Lisa Demartinis (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6315090714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Wellness Associates Inc. 8 Camelot Ln Saint James NY 11780-3104 Ph: (631) 509-0714 | Long Island Wellness Associates Inc. 8 Camelot Ln Saint James NY 11780-3104 Ph: (631) 509-0714 |
| NPI Number | 1073173811 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 06/14/2019 |
| Medicare PECOS PAC ID | 5799132262 |
|---|---|
| Medicare Enrollment ID | O20231106003115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073173811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Demartinis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245577501 PECOS PAC ID: 6608223177 Enrollment ID: I20231106003154 |
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