Daniel Mark Dzembo, MSW LCSW R | |
2280 Western Ave, Guilderland, NY 12084-9206 | |
(518) 456-5056 | |
Not Available |
Full Name | Daniel Mark Dzembo |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 35 Years |
Location | 2280 Western Ave, Guilderland, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700049665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R042105 1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ellis Hospital | Schenectady, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ellis Hospital | 5890607410 | 194 |
Entity Name | Ellis Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
Mailing Address | Practice Location Address |
---|---|
Daniel Mark Dzembo, MSW LCSW R 2280 Western Ave, Guilderland, NY 12084-9206 Ph: (518) 456-5056 | Daniel Mark Dzembo, MSW LCSW R 2280 Western Ave, Guilderland, NY 12084-9206 Ph: (518) 456-5056 |
Yolanda Reese, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2280 Western Ave, Guilderland, NY 12084 Phone: 518-456-5056 | |
Ms. Janet Marie Folkman, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2280 Western Ave, Guilderland, NY 12084 Phone: 518-456-4056 Fax: 518-456-6512 | |
Ms. Sally Ann Loughrey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2280 Western Ave, Guilderland, NY 12084 Phone: 518-456-5056 | |
Deeann Lea Whittet, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6072 State Farm Rd, Farnsworth Middle School, Guilderland, NY 12084 Phone: 518-456-6010 Fax: 518-456-3747 | |
Mrs. Julia Marie Ball, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2280 Western Ave, Guilderland, NY 12084 Phone: 518-456-5056 | |
Mrs. Chelsea Sw Rader, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6072 State Farm Rd, Guilderland, NY 12084 Phone: 518-456-6010 |