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Search › New York › 104100000X

Shaun Willis, LMSW

NPI 1457673451 · on the registry since 2010

Practice

Address
998 Crooked Hill Rd
Pilgrim Psych Center Bldg #5
Brentwood, NY 11717
Phone
(631) 306-5869
Fax
(631) 306-5886
Organisation at this address
Suffolk Icm Program
Phoenix House Foundation
Pilgrim Psychiatric Center
Phoenix Houses Of Long Island, Inc.
Suffolk County Dept Of Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
182

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York