33D2272121 CLIA NUMBER - DANIELLE BELLUCCI NP A LOCATION OF STONY BROOK FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 33D2272121

Facility Name: DANIELLE BELLUCCI NP A LOCATION OF STONY BROOK FAMILY MEDICINE

Facility Address:
170 RTE 25A
ROCKY POINT, NY
ZIP 11778
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Facility Phone Number: 631 396-1000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881158632

Taxonomy: 104100000X - Social Worker
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

CLIA Record

Field Name	Field Value
CLIA Number	33D2272121
LAB Type	Physician Office
Facility Name	DANIELLE BELLUCCI NP A LOCATION OF STONY BROOK FAMILY MEDICINE
Street	170 RTE 25A
City	ROCKY POINT
State	NY
ZIP	11778
Phone	631 396-1000
CertificateType	4
CertificateEffectiveDate	11/15/2022
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024