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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREAT SOUTH BAY THERAPY LCSW PC

Active Organization

Clinical Social Worker · BAYPORT, NY

Registration Details

NPI Number
1710468517
Provider Type
Organization
NPI Issued
Aug 28, 2018 (7.6985234984595 yrs)
Last Updated
Jun 11, 2019
License
R03699 (NY)

Practice Information

Address
972 MONTAUK HWY
BAYPORT, NY, 117051612
Browse NY providers · Browse ZIP 11705
Phone
6314722629
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in BAYPORT, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.