David Ebenezer Daisley in Massapequa - Clinical
David Ebenezer Daisley - NPI 1609961002
David Ebenezer Daisley is a Clinical in Massapequa, New York. David Ebenezer Daisley practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Ebenezer Daisley is 1609961002. The last update date is 2007-07-08.
David Ebenezer Daisley's current location address is 10 Ozone Place, Massapequa, New York. You can contact this provider via phone number 5167950009 and fax number 5167978850. The mailing address for David Ebenezer Daisley is 10 Ozone Place, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Ebenezer Daisley |
|---|---|
| Address | 10 Ozone Place, Massapequa, New York |
| Phone Number | 5167950009 |
| Fax Number | 5167978850 |
| Sole Proprietor | Y |
| Credentials | LCSW, PSY. |
NPI Number Detail
| NPI Number | 1609961002 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10 Ozone Place |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117586817 |
| Phone Number | 5167950009 |
| Fax Number | 5167978850 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R057190-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1826607 | NY | CIGNA | |
| N5V96 | NY | EMPIRE | |
| 2385546 | NY | -- | |
| 057190 N01 | NY | HIP | |
| 269983 | NY | MHN | |
| 413031 | NY | VALUE OPTIONS | |
| 747-9139 | NY | GHI | |
| NV90706 | NY | HEALTH NET | |
| 6238574 | NY | UBH | |
| 7797384 | NY | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David Ebenezer Daisley by the Centers for Medicare & Medicaid Services?
The David Ebenezer Daisley has been issued the NPI (National Provider Identifier) 1609961002, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where David Ebenezer Daisley is located?
The David Ebenezer Daisley is situated at the following address: 10 Ozone Place, Massapequa, NY, 117586817.
What is the David Ebenezer Daisley's area of specialization and corresponding taxonomy classification?
The David Ebenezer Daisley's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the David Ebenezer Daisley's 1609961002 issued?
The David Ebenezer Daisley's 1609961002 was issued on 2006-10-03.
As of what date were the details related to David Ebenezer Daisley most recently updated or revised?
The information pertaining to David Ebenezer Daisley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.