Patrick J Vitale, LCSW | |
3375 Park Ave, Suite 4001, Wantagh, NY 11793-3733 | |
(516) 238-1251 | |
Not Available |
Full Name | Patrick J Vitale |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3375 Park Ave, Wantagh, 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 |
---|---|---|---|
1780774877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R054548 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Patrick J Vitale, LCSW 3375 Park Ave, Suite 4001, Wantagh, NY 11793-3733 Ph: (516) 238-1251 | Patrick J Vitale, LCSW 3375 Park Ave, Suite 4001, Wantagh, NY 11793-3733 Ph: (516) 238-1251 |
Gary Pelosi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Dorothy Morse, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Mrs. Melina Fazzolari-napoli, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2446 Woodland Ave, Wantagh, NY 11793 Phone: 516-847-5916 Fax: 516-232-8611 | |
Nancy Keelan, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-221-3030 Fax: 516-221-4160 | |
Valencia Reid, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1259 Wantagh Ave, Wantagh, NY 11793 Phone: 516-262-3772 | |
Carol Golden-cuomo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Vivian Abbate, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Suite, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 |