| Christine Kaiser Lcsw Pllc | |
|
10 Office Park Way Ste 100 Pittsford NY 14534-1754 | |
| (585) 704-2917 | |
| Not Available |
| Full Name | Christine Kaiser Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10 Office Park Way Ste 100, Pittsford, New York |
| Authorized Official Name and Position | Christine M Kaiser (OWNER) |
| Authorized Official Contact | 5857042917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Kaiser Lcsw Pllc Po Box 485 North Chili NY 14514-0485 Ph: (585) 594-4574 | Christine Kaiser Lcsw Pllc 10 Office Park Way Ste 100 Pittsford NY 14534-1754 Ph: (585) 704-2917 |
| NPI Number | 1619547981 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 5698178515 |
|---|---|
| Medicare Enrollment ID | O20210729000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619547981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine M Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821244666 PECOS PAC ID: 1759644800 Enrollment ID: I20180424001647 |
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