| Diane Marascia Lcsw Pc | |
|
859 Montauk Hwy Ste 2 Bayport NY 11705-1634 | |
| (631) 513-1418 | |
| Not Available |
| Full Name | Diane Marascia Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 859 Montauk Hwy Ste 2, Bayport, New York |
| Authorized Official Name and Position | Diane Marascia (SOCIAL WORKER) |
| Authorized Official Contact | 6315131418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Marascia Lcsw Pc 108 Colony Dr Holbrook NY 11741-2839 Ph: (631) 513-1418 | Diane Marascia Lcsw Pc 859 Montauk Hwy Ste 2 Bayport NY 11705-1634 Ph: (631) 513-1418 |
| NPI Number | 1093413627 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Medicare PECOS PAC ID | 2567827579 |
|---|---|
| Medicare Enrollment ID | O20230426002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093413627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane Marascia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114088366 PECOS PAC ID: 6103193602 Enrollment ID: I20170606000037 |
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