Stillwater Therapy Lcsw P.c.

NPI #1053550624 in Bay Shore, New York

Provider Information

NPI Number: 1053550624
Entity Type: Organization
Organization Name: Stillwater Therapy Lcsw P.c.
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 5, 2009
Last Updated: Feb 5, 2009

Practice Location

Address: 1840 UNION BLVD
City: Bay Shore
State: New York
ZIP Code: 11706-7932
Phone: (631) 647-7885

Authorized Official

Name: DR. SHAFER ZYSMAN
Title: PRESIDENT
Phone: (631) 647-7885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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