| Stillwater Therapy Lcsw P.c. | |
|
1840 Union Blvd Bay Shore NY 11706-7932 | |
| (631) 647-7885 | |
| (631) 647-7893 |
| Full Name | Stillwater Therapy Lcsw P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1840 Union Blvd, Bay Shore, New York |
| Authorized Official Name and Position | Shafer Zysman (PRESIDENT) |
| Authorized Official Contact | 6316477885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Therapy Lcsw P.c. 1840 Union Blvd Bay Shore NY 11706-7932 Ph: (631) 647-7885 | Stillwater Therapy Lcsw P.c. 1840 Union Blvd Bay Shore NY 11706-7932 Ph: (631) 647-7885 |
| NPI Number | 1053550624 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053550624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | RP25669-1 (New York) | Primary |
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