| Dewitt Counseling Associates, Lcsw, Pc | |
|
890 E Brighton Ave Syracuse NY 13205-2538 | |
| (315) 472-7885 | |
| (315) 472-2513 |
| Full Name | Dewitt Counseling Associates, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 890 E Brighton Ave, Syracuse, New York |
| Authorized Official Name and Position | Donald T Gardiner (OWNER) |
| Authorized Official Contact | 3154727885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Counseling Associates, Lcsw, Pc 890 E Brighton Ave Syracuse NY 13205-2538 Ph: (315) 472-7885 | Dewitt Counseling Associates, Lcsw, Pc 890 E Brighton Ave Syracuse NY 13205-2538 Ph: (315) 472-7885 |
| NPI Number | 1275811291 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Medicare PECOS PAC ID | 3870765597 |
|---|---|
| Medicare Enrollment ID | O20110930000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275811291 | NPI | - | NPPES |
| Provider Name | Donald Gardiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164520185 PECOS PAC ID: 6608979000 Enrollment ID: I20070721000029 |
| Provider Name | Debra Cardarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780738526 PECOS PAC ID: 3173624723 Enrollment ID: I20070726000044 |
| Provider Name | Riaz S Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427029727 PECOS PAC ID: 0941351142 Enrollment ID: I20090630000004 |
| Provider Name | Thomas M Maltese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497858674 PECOS PAC ID: 7719136464 Enrollment ID: I20121012000560 |
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