RICHARD GIRARD DOMENA

EASTERN SUFFOLK COUNSELING LCSW PLLC

Dr RICHARD GIRARD DOMENA is a male medical professional, specializing in Clinical Social Worker. He graduated in 2007.

Contact

EASTERN SUFFOLK COUNSELING LCSW PLLC

551 N COUNTRY RD
SUITE 203
SAINT JAMES
NY
117801445

Tel: 6315242102

RICHARD GIRARD DOMENA Information

Npi 1326369257
Pac Id 8022142058
Professional Enrollment Id I20120215000180
Last Name GIRARD DOMENA
First Name RICHARD
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EASTERN SUFFOLK COUNSELING LCSW PLLC
Group Practice Pac Id 1254624422
Number Of Group Practice Members 3
Line 1 Street Address 551 N COUNTRY RD
Line 2 Street Address SUITE 203
Marker Of Address Line 2 Suppression
City SAINT JAMES
State NY
Zip Code 117801445
Phone Number 6315242102
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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