| Chad Angellotti | |
|
143 Main St Otego NY 13825-2326 | |
| (607) 435-4957 | |
| Not Available |
| Full Name | Chad Angellotti |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 143 Main St, Otego, New York |
| Authorized Official Name and Position | Chad Angellotti (SOCIAL WORKER) |
| Authorized Official Contact | 6074354957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Angellotti 143 Main St Otego NY 13825-2326 Ph: (607) 435-4957 | Chad Angellotti 143 Main St Otego NY 13825-2326 Ph: (607) 435-4957 |
| NPI Number | 1013664184 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013664184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Angellotti Supervision And Consultation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Main St, Otego, NY 13825 Phone: 607-435-4957 |