| Daniel Raffaele Lcsw Pc | |
|
15 John St Massapequa NY 11758-7350 | |
| (516) 795-7561 | |
| Not Available |
| Full Name | Daniel Raffaele Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 15 John St, Massapequa, New York |
| Authorized Official Name and Position | Daniel Raffaele (PRESIDENT) |
| Authorized Official Contact | 5167957561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Raffaele Lcsw Pc 15 John St Massapequa NY 11758-7350 Ph: (516) 795-7561 | Daniel Raffaele Lcsw Pc 15 John St Massapequa NY 11758-7350 Ph: (516) 795-7561 |
| NPI Number | 1093107468 |
|---|---|
| Provider Enumeration Date | 02/23/2015 |
| Last Update Date | 06/15/2015 |
| Medicare PECOS PAC ID | 7113248485 |
|---|---|
| Medicare Enrollment ID | O20150611002547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093107468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 025188 (New York) | Primary |
| Provider Name | Daniel G Raffaele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871887943 PECOS PAC ID: 5193718823 Enrollment ID: I20040407000625 |
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