| Virginia L Medina-lomas, Lcsw-r | |
|
1305 Middle Country Rd Ste 14d Selden NY 11784-2554 | |
| (631) 833-8266 | |
| Not Available |
| Full Name | Virginia L Medina-lomas, Lcsw-r |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1305 Middle Country Rd Ste 14d, Selden, New York |
| Authorized Official Name and Position | Virginia Medina-lomas (OWNER) |
| Authorized Official Contact | 6318338266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia L Medina-lomas, Lcsw-r 77 Gauguin Ct Middle Island NY 11953-2003 Ph: (631) 833-8266 | Virginia L Medina-lomas, Lcsw-r 1305 Middle Country Rd Ste 14d Selden NY 11784-2554 Ph: (631) 833-8266 |
| NPI Number | 1235948951 |
|---|---|
| Provider Enumeration Date | 01/07/2025 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235948951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Bashir Ahmed, M.d. Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1305 Middle Country Rd, Suite #2, Selden, NY 11784 Phone: 631-320-3053 | |
Tru Outreach Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21 Ruland Rd, Selden, NY 11784 Phone: 631-740-2517 |