Organization directory

SOUTHSHORE COUNSELING MEDIATION AND LICENSED CLINICAL SOCIAL WORK SERV fax numbers

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36 EDGAR AVE, BROOKHAVEN, NY, 11719-9655
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
SOUTHSHORE COUNSELING MEDIATION AND LICENSED CLINICAL SOCIAL WORK SERV
NPI number
1366684078
Practice address
36 EDGAR AVE, BROOKHAVEN, NY, 11719-9655
Telephone
(631) 286-8282
Provider specialty
Clinical social worker 1041C0700X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Provider listed

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(631) 803-6793
NPI 1366684078

36 EDGAR AVE, BROOKHAVEN, NY, 11719-9655

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Practice location fax reported by the provider to NPPES

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