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Theodora Slone Lcsw Llc
Clinic/Center in Lindenhurst, New York
NPI 1174287130

Theodora Slone Lcsw Llc is a Clinic/Center based in Lindenhurst, NY. Theodora Slone Lcsw Llc practices in Lindenhurst, NY. The NPI Number for Theodora Slone Lcsw Llc is 1174287130 and holds a License No. (New York).

The current practice location address for Theodora Slone Lcsw Llc is 185 Davenport St, Lindenhurst, NY and can be reached out via phone at 631-827-2813.

Location: 185 Davenport St, Lindenhurst, NY, 11757-5317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174287130
Provider Name
Theodora Slone Lcsw Llc
Credential
Provider Entity Type
Organization
Address
185 Davenport St, Lindenhurst, NY, 11757-5317
Phone Number
631-827-2813
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06711600 05 NY
institution
Provider Business Practice Location Address Details
Address
185 Davenport St
City
Lindenhurst
State
New York
Zip
11757-5317
Phone Number
631-827-2813
Fax Number
person
Provider Business Mailing Address Details
Address
185 Davenport St
City
Lindenhurst
State
New York
Zip
11757-5317
Phone Number
631-827-2813
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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