Organization
COUNSELING SERVICES OF LONG ISLAND LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY SIEGMANN-BEINER (OWNER)
(516) 528-6712
Entity
Organization
Contact information
Practice address
54 CHICAGO AVE, MASSAPEQUA, NY 11758-4422
(516) 528-6712
(516) 804-0448
Mailing address
54 CHICAGO AVE, MASSAPEQUA, NY 11758-4422
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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