Irene P Korolczuk (NPI# 1104963982, PAC ID# 4587891148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1104963982 |
| PAC ID by PECOS | 4587891148 |
| Professional Enrollment ID | I20131206000081 |
| Full Name | Irene P Korolczuk |
| Organization Legal Name | LIVING WATERS LCSW PC |
| Address |
175 Wolf Hill Rd Melville NY 11747-1340 |
| Phone Number | 6317543990 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7719032606 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 175 Wolf Hill Rd, Melville, NY 11747-1340 | 6317543990 | LIVING WATERS LCSW PC |
| Organization Legal Name | LIVING WATERS LCSW PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert P Clock | Clinical Social Worker | Living Waters Lcsw PC | 175 Wolf Hill Rd, Melville, NY 11747-1340 |
| Janice Driscoll | Clinical Social Worker | Living Waters Lcsw PC | 175 Wolf Hill Rd, Melville, NY 11747-1340 |
| Patricia A King | Clinical Social Worker | Living Waters Lcsw PC | 175 Wolf Hill Rd, Melville, NY 11747-1340 |
| Carol Rubano | Clinical Social Worker | Living Waters Lcsw PC | 175 Wolf Hill Rd, Melville, NY 11747-1340 |
| Street Address |
175 WOLF HILL RD |
| City | MELVILLE |
| State | NY |
| Zip | 11747-1340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert P Clock | Clinical Social Worker | Living Waters Lcsw PC | 175 Wolf Hill Rd, Melville, NY 11747-1340 |
| Janice Driscoll | Clinical Social Worker | Living Waters Lcsw PC | 175 Wolf Hill Rd, Melville, NY 11747-1340 |
| Patricia A King | Clinical Social Worker | Living Waters Lcsw PC | 175 Wolf Hill Rd, Melville, NY 11747-1340 |
| Carol Rubano | Clinical Social Worker | Living Waters Lcsw PC | 175 Wolf Hill Rd, Melville, NY 11747-1340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyliss A Martoccia | Nurse Practitioner | 150 Brookhollow Rd, Suite 309, Melville, NY 11747 | |
| George A Blednick | Psychologist, Clinical | 36 Overhill Rd, Melville, NY 11747-1036 | |
| Joseph G Ruggero | Chiropractic | 2470 New York Ave, Melville, NY 11747-1107 | |
| Michael D Lehrer | Chiropractic | 1 Schwab Rd, Suite 6, Melville, NY 11747-1130 | |
| Lori A Trentacoste | Qualified Audiologist | Island Better Hearing and Optical Inc | 103 Schwab Rd, Melville, NY 11747-1130 |
| Tracey Lynch | Qualified Audiologist | Island Better Hearing and Optical Inc | 103 Schwab Rd, Melville, NY 11747-1130 |
| Tara L Mazzone | Qualified Audiologist | Island Better Hearing and Optical Inc | 103 Schwab Rd, Melville, NY 11747-1130 |
| Clyde Friedman | Clinical Social Worker | 1 Breton Ave, Melville, NY 11747-1301 | |
| Marilyn Blumenthal | Psychologist, Clinical | 30 Clafford Ln, Melville, NY 11747-1310 | |
| Robert Palumbo | Psychologist, Clinical | 8 Sycamore St, Melville, NY 11747-1618 | |
| Find all physicians in zip 11747 | |||
| City | MELVILLE |
| Zip Code | 11747 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MELVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Irene P Korolczuk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.