| Sowingroots LLC | |
|
235 E Main St East Patchogue NY 11772-3105 | |
| (516) 710-0424 | |
| Not Available |
| Full Name | Sowingroots LLC |
|---|---|
| Speciality | Counselor |
| Location | 235 E Main St, East Patchogue, New York |
| Authorized Official Name and Position | Oscar Pardo (OWNER) |
| Authorized Official Contact | 5167100424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sowingroots LLC 235 E Main St East Patchogue NY 11772-3105 | Sowingroots LLC 235 E Main St East Patchogue NY 11772-3105 Ph: (516) 710-0424 |
| NPI Number | 1821930801 |
|---|---|
| Provider Enumeration Date | 04/08/2026 |
| Last Update Date | 04/08/2026 |
| Certification Date | 04/08/2026 |
| Medicare PECOS PAC ID | 4082181359 |
|---|---|
| Medicare Enrollment ID | O20260423001650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821930801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Oscar Pardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154701266 PECOS PAC ID: 5799127742 Enrollment ID: I20240522003609 |
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