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Organization
MARY OZEGOVICH LCSW PC
Active
Organization
MARY OZEGOVICH LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY OZEGOVICH LCSW (OWNER/PRESIDENT)
(631) 650-5580
Entity
Organization
Contact information
Practice address
6 SUFFOLK LN, EAST ISLIP, NY 11730-2210
(631) 650-5580
(631) 277-2787
Mailing address
6 SUFFOLK LN, EAST ISLIP, NY 11730-2210
(631) 650-5580
(631) 277-2787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0453061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045306
HIP GREATER NY
NY
01
—
082497
VALUE OPTIONS
NY
01
—
7483559
GHI NY
NY
01
—
P575344
OXFORD HEALTH PLANS
NY
Enumeration date
09/21/2007
Last updated
09/21/2007
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