| Stillwater Occupational Therapy & Social Work Group, Pllc | |
|
160 Howells Rd Suite 2 Bay Shore NY 11706-5320 | |
| (631) 647-7885 | |
| (631) 647-7893 |
| Full Name | Stillwater Occupational Therapy & Social Work Group, Pllc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 160 Howells Rd, Bay Shore, New York |
| Authorized Official Name and Position | Rae R Zysman (PRESIDENT) |
| Authorized Official Contact | 6316477885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Occupational Therapy & Social Work Group, Pllc 160 Howells Rd Suite 2 Bay Shore NY 11706-5320 Ph: (631) 647-7885 | Stillwater Occupational Therapy & Social Work Group, Pllc 160 Howells Rd Suite 2 Bay Shore NY 11706-5320 Ph: (631) 647-7885 |
| NPI Number | 1154384287 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8729030473 |
|---|---|
| Medicare Enrollment ID | O20050210000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154384287 | NPI | - | NPPES |
| 02640857 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Shafer H Zysman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093778144 PECOS PAC ID: 7911893094 Enrollment ID: I20040226000684 |
| Provider Name | Lisa Ribaudo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588807051 PECOS PAC ID: 6608194733 Enrollment ID: I20150421001244 |
Jean Bacon Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 83 E Main St, Bay Shore, NY 11706 Phone: 631-666-5067 Fax: 631-593-5472 | |
Long Island Neurology,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 E Main St, Suite 1, Bay Shore, NY 11706 Phone: 631-666-4767 Fax: 631-665-2153 | |
H. Tad Troutman, Ph.d., Psychologist, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Brentwood Rd, Suite 2, Bay Shore, NY 11706 Phone: 631-968-7700 | |
Stillwater Therapy Lcsw P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 Union Blvd, Bay Shore, NY 11706 Phone: 631-647-7885 Fax: 631-647-7893 | |
Lynne Slovin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Admirals Dr E, Bay Shore, NY 11706 Phone: 516-810-5690 | |
Episcopal Community Services Of Long Island Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 South Country Road, Bay Shore, NY 11706 Phone: 631-665-7701 Fax: 631-665-2737 | |
Catholic Charities Of The Diocese Of Rockville Centre Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9 4th Ave, Bay Shore, NY 11706 Phone: 631-665-6707 |