Peter Trivisonno, | |
1990 Westchester Ave, Bronx, NY 10462-4553 | |
(718) 828-0300 | |
Not Available |
Full Name | Peter Trivisonno |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1990 Westchester Ave, Bronx, 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 |
---|---|---|---|
1366941288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 075954 (New York) | Primary |
Entity Name | Catholic Guardian Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588186530 PECOS PAC ID: 8123371804 Enrollment ID: O20181025002921 |
Mailing Address | Practice Location Address |
---|---|
Peter Trivisonno, 29 W 64th St Apt 4b, New York, NY 10023-6727 Ph: (617) 834-9348 | Peter Trivisonno, 1990 Westchester Ave, Bronx, NY 10462-4553 Ph: (718) 828-0300 |
Ms. Ann Marie Gargiulo, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Fordham Plz, Bronx, NY 10458 Phone: 718-405-4400 | |
Ms. Sharon Rose Wade, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Arthur Ave, Bronx, NY 10457 Phone: 718-466-8657 Fax: 718-716-4885 | |
Ms. Iris Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 E 167th St, Bronx, NY 10456 Phone: 718-579-7313 Fax: 718-579-7356 | |
Mr. Orlando Bosch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1276 Fulton Ave, Bronx, NY 10456 Phone: 718-901-8010 | |
Loida Luisa Reyes-rivera, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1650 Grand Concourse Ave, Bronx, NY 10457 Phone: 718-518-5041 | |
Sima Alexandra Lichtschein, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 W Burnside Ave, Bronx, NY 10453 Phone: 718-483-1270 | |
Zuleyka A Grullon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 718-579-5000 |