Richard Girard Domena (NPI# 1326369257, PAC ID# 8022142058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1326369257 |
| PAC ID by PECOS | 8022142058 |
| Professional Enrollment ID | I20120215000180 |
| Full Name | Richard Girard Domena |
| Organization Legal Name | EASTERN SUFFOLK COUNSELING LCSW PLLC |
| Address |
551 N Country Rd Suite 203 Saint James NY 11780-1445 |
| Phone Number | 6315242102 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1254624422 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 36 Edgar Ave, Brookhaven, NY 11719-3655 | 6312868282 | SOUTHSHORE COUNSELING MEDIATION AND LICENSED CLINICAL SOCIAL WORK SERV |
| 551 N Country Rd, Suite 203, Saint James, NY 11780-1445 | 6315242102 | EASTERN SUFFOLK COUNSELING LCSW PLLC |
| Organization Legal Name | EASTERN SUFFOLK COUNSELING LCSW PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Drost | Clinical Social Worker | Eastern Suffolk Counseling Lcsw Pllc | 551 N Country Rd, Suite 203, Saint James, NY 11780-1445 |
| Street Address |
551 N COUNTRY RD SUITE 203 |
| City | SAINT JAMES |
| State | NY |
| Zip | 11780-1445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Drost | Clinical Social Worker | Eastern Suffolk Counseling Lcsw Pllc | 551 N Country Rd, Suite 203, Saint James, NY 11780-1445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Y Goodman | Clinical Social Worker | 564 Moriches Rd, Saint James, NY 11780-1367 | |
| Monica Rose Deschryver | Psychologist, Clinical | 590 A N Country Rd, Saint James, NY 11780-1403 | |
| Roxanne Gail Carfora | Family Medicine | 412 N Country Rd, Suite 10, Saint James, NY 11780-1761 | |
| Hiral Patel | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Mitchell Lee Steinberg | Podiatry | 273 Moriches Rd, Saint James, NY 11780-2117 | |
| Joseph Chandrankunnel | Internal Medicine | Long Island Comprehensive Medical Care Pllc | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Christopher Tomaino | Gastroenterology | East Coast Gastroenterology and Endoscopy PC | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Anthony C Theodoris | Pulmonary Disease | 273 Moriches Rd, Saint James, NY 11780-2117 | |
| Margot E Rosenthal | Nurse Practitioner | New York Neuromodulation Medical Pllc | 275 Moriches Rd, Saint James, NY 11780-2150 |
| Kerinna M Mcdonald | Optometry | Swift Optometry Care PC | 275 Moriches Rd, Saint James, NY 11780-2150 |
| Find all physicians in zip 11780 | |||
| City | SAINT JAMES |
| Zip Code | 11780 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SAINT JAMES + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Richard Girard Domena.
| 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.