Cheryl Nastasio Pc | |
265 Highway 36 Ste 201 West Long Branch NJ 07764-1030 | |
(732) 935-7222 | |
(732) 774-3292 |
Full Name | Cheryl Nastasio Pc |
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Speciality | Social Worker |
Location | 265 Highway 36 Ste 201, West Long Branch, New Jersey |
Authorized Official Name and Position | Cheryl Nastasio (OWNER) |
Authorized Official Contact | 7329357222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cheryl Nastasio Pc 265 Highway 36 Ste 201 West Long Branch NJ 07764-1030 Ph: (732) 935-7222 | Cheryl Nastasio Pc 265 Highway 36 Ste 201 West Long Branch NJ 07764-1030 Ph: (732) 935-7222 |
NPI Number | 1427572767 |
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Provider Enumeration Date | 07/28/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 0941565402 |
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Medicare Enrollment ID | O20180604001930 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427572767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC04300800 (New Jersey) | Primary |
Provider Name | Cheryl A Nastasio |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285760348 PECOS PAC ID: 4385682491 Enrollment ID: I20050420000088 |
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