Mr Phillip Zagozewski, - Counselor in South Waverly, PA

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Mr Phillip Zagozewski, is a Counselor - Addiction (substance Use Disorder) based in South Waverly, Pennsylvania. Mr Phillip Zagozewski is licensed to practice in * (Not Available) (license number ) and his current practice location is 356 Loder St, South Waverly, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (570) 882-7414.

NPI number for Mr Phillip Zagozewski is 1013191964 and his current mailing address is 356 Loder St, South Waverly, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013191964.

Contact Information

Mr Phillip Zagozewski,
356 Loder St,
South Waverly, PA 18840-2611
(570) 882-7414
(570) 888-1204

Map and Direction


Healthcare Provider's Profile

Full NameMr Phillip Zagozewski
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location356 Loder St, South Waverly, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013191964
  • Provider Enumeration Date: 12/27/2007
  • Last Update Date: 12/27/2007

Medical Identifiers

Medical identifiers for Mr Phillip Zagozewski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013191964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Phillip Zagozewski is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Phillip Zagozewski,
356 Loder St,
South Waverly, PA 18840-2611

Ph: (570) 882-7414		Mr Phillip Zagozewski,
356 Loder St,
South Waverly, PA 18840-2611

Ph: (570) 882-7414

Reviews and Comments


Counselor in South Waverly, PA


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