Christine Gattuso, Lcsw Pllc | |
20 Milton Ave Highland NY 12528 | |
(845) 392-6670 | |
(845) 795-5850 |
Full Name | Christine Gattuso, Lcsw Pllc |
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Speciality | Social Worker |
Location | 20 Milton Ave, Highland, New York |
Authorized Official Name and Position | Christine Gattuso (SOLE MEMBER) |
Authorized Official Contact | 8453926670 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christine Gattuso, Lcsw Pllc 705 Lattintown Rd Milton NY 12547-5311 Ph: (845) 392-6670 | Christine Gattuso, Lcsw Pllc 20 Milton Ave Highland NY 12528 Ph: (845) 392-6670 |
NPI Number | 1437562816 |
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Provider Enumeration Date | 06/03/2014 |
Last Update Date | 11/21/2016 |
Medicare PECOS PAC ID | 1658659875 |
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Medicare Enrollment ID | O20161024000059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437562816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R059551-1 (New York) | Primary |
Provider Name | Christine Gattuso |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417036609 PECOS PAC ID: 7810170644 Enrollment ID: I20110331000476 |
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