Illuminating Steps, Llc | |
1 Deer Path East Patchogue NY 11772-4616 | |
(631) 987-3043 | |
Not Available |
Full Name | Illuminating Steps, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1 Deer Path, East Patchogue, New York |
Authorized Official Name and Position | Renee Lee (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6319873043 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Illuminating Steps, Llc 1 Deer Path East Patchogue NY 11772-4616 Ph: () - | Illuminating Steps, Llc 1 Deer Path East Patchogue NY 11772-4616 Ph: (631) 987-3043 |
NPI Number | 1063861227 |
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Provider Enumeration Date | 06/08/2016 |
Last Update Date | 06/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063861227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 000145 (New York) | Primary |
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