Seamus McEntee
Individual provider Active NPI Social Worker · Mineola, NY
NPI 1861674590 · NPPES record last updated Dec 5, 2007
Key facts
- NPI
- 1861674590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 069093-1 (NY)
- Practice address
- 366 Jericho Turnpike
Mineola, NY 11501 - Phone
- (516) 742-4015
- NPI assigned
- Dec 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069093-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 069093-1 | NY | Yes |
Addresses
Primary practice location
366 Jericho Turnpike
Mineola, NY 11501
Mailing address
860 East Broadway Apartment 4H
Long Beach, NY 11561-4710
Phone (516) 742-4015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069093-1 | Other | NY | SUNY EDUCATION DEPARTMENT |
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.