| Jason Diana Lcsw | |
|
189 Wheatley Road Brookville NY 11545 | |
| (516) 569-6600 | |
| Not Available |
| Full Name | Jason Diana Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 189 Wheatley Road, Brookville, New York |
| Authorized Official Name and Position | Jason Steven Diana (SOCIAL WORKER) |
| Authorized Official Contact | 5165577510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Diana Lcsw 1072 Johnston Ave Wantagh NY 11793 Ph: (516) 557-7510 | Jason Diana Lcsw 189 Wheatley Road Brookville NY 11545 Ph: (516) 569-6600 |
| NPI Number | 1942807276 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942807276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |