Ms Trista Corsino, | |
1500 Genesee St, Utica, NY 13502-5104 | |
(315) 798-8868 | |
Not Available |
Full Name | Ms Trista Corsino |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1500 Genesee St, Utica, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457086225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 093690 (New York) | Primary |
Entity Name | Upstate Cerebral Palsy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780636506 PECOS PAC ID: 5496734758 Enrollment ID: O20040719001380 |
Mailing Address | Practice Location Address |
---|---|
Ms Trista Corsino, 9840 Cedar Lake Rd, Clayville, NY 13322-1302 Ph: (315) 985-0277 | Ms Trista Corsino, 1500 Genesee St, Utica, NY 13502-5104 Ph: (315) 798-8868 |
Heather A Reynolds, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 628 Mary St, Utica, NY 13501 Phone: 315-272-2700 | |
Stacy Ann Cullen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2621 Genesee St, Utica, NY 13501 Phone: 315-507-3858 | |
Mrs. Kelley M Thorp Wolcott, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1231 Green St, Utica, NY 13502 Phone: 315-797-0472 Fax: 315-797-6066 | |
Karen G. Dziok, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1427 Genesee St, Utica, NY 13501 Phone: 315-738-1428 Fax: 315-738-1461 | |
Kathryn Muller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2626 Genesee St, Utica, NY 13502 Phone: 315-724-5344 Fax: 315-724-3148 | |
Ethan Michael Korotzer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 Champlin Ave, Utica, NY 13502 Phone: 315-235-7629 | |
Alisha Campanella, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1550 Champlin Ave, Utica, NY 13502 Phone: 315-235-7600 |