| Christian N. Caputo, Lcsw, P.c. | |
|
619 Roanoke Ave Riverhead NY 11901-2727 | |
| (631) 369-1718 | |
| Not Available |
| Full Name | Christian N. Caputo, Lcsw, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 619 Roanoke Ave, Riverhead, New York |
| Authorized Official Name and Position | Christian Nicholas Caputo (OWNER) |
| Authorized Official Contact | 6313691718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian N. Caputo, Lcsw, P.c. 166 Hampton Vista Dr Manorville NY 11949-2861 Ph: (631) 369-1718 | Christian N. Caputo, Lcsw, P.c. 619 Roanoke Ave Riverhead NY 11901-2727 Ph: (631) 369-1718 |
| NPI Number | 1871611012 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 01/22/2008 |
| Medicare PECOS PAC ID | 9436056884 |
|---|---|
| Medicare Enrollment ID | O20031215000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871611012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | RP 003027-1 (New York) | Primary |
| Provider Name | Christian N Caputo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669425914 PECOS PAC ID: 0143127506 Enrollment ID: I20031218000280 |
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