Butterfly Lcsw Pc

NPI 1023349297 - Social Worker - 104100000X

NPI Details
NPI 1023349297
Enumeration Date 01/27/2010
Last Updated 03/02/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JEAN JEAN
Position CLINICAL DIRECTOR
Phone (631) 666-1951
Fax (631) 593-5472
Practice Location
269 W MAIN ST
2ND FLOOR
BAY SHORE NY, 11706-8319, US
Phone (631) 666-1951
Fax (631) 593-5472
Business Location
34 FIRE ROAD DR
BAY SHORE NY, 11706-3947, US
Phone (631) 666-1951
Fax (631) 593-5472
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 075977
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According to our database, Butterfly Lcsw Pc NPI is 1023349297, taxonomy code is 104100000X and license number is 075977, license state is located at New York. Butterfly Lcsw Pc physically located at 269 W Main St, Bay Shore NY, 11706-8319. NPI Number 1033115704 has the healthcare provider type.

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1023349297 NPI number is provided on an as is basis without warranty of any kind. 1023349297 is maintained by the National Plan & Provider Enumeration System. The contents of Butterfly Lcsw Pc are for informational purposes only.