| Susan Guida Lcsw Pc | |
|
43 Dogwood Rd Albertson NY 11507-1003 | |
| (516) 621-2854 | |
| (516) 621-2854 |
| Full Name | Susan Guida Lcsw Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 43 Dogwood Rd, Albertson, New York |
| Authorized Official Name and Position | Susan Guida (PRESIDENT) |
| Authorized Official Contact | 5166212854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Guida Lcsw Pc 43 Dogwood Rd Albertson NY 11507-1003 Ph: (516) 621-2854 | Susan Guida Lcsw Pc 43 Dogwood Rd Albertson NY 11507-1003 Ph: (516) 621-2854 |
| NPI Number | 1093045932 |
|---|---|
| Provider Enumeration Date | 12/27/2009 |
| Last Update Date | 12/27/2009 |
| Medicare PECOS PAC ID | 5193856367 |
|---|---|
| Medicare Enrollment ID | O20100702000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093045932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 069724-1 (New York) | Primary |
| Provider Name | Susan J Guida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366682411 PECOS PAC ID: 0648302885 Enrollment ID: I20100723000000 |
Dr Ami Shah Psychology Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 68 Birch Hl, Albertson, NY 11507 Phone: 201-247-2663 |