| Diane Marsin Furst, Lcsw,pllc | |
|
25 Main St Ste 2.2 Goshen NY 10924-2144 | |
| (845) 294-1635 | |
| Not Available |
| Full Name | Diane Marsin Furst, Lcsw,pllc |
|---|---|
| Speciality | Social Worker |
| Location | 25 Main St Ste 2.2, Goshen, New York |
| Authorized Official Name and Position | Diane Carol Marsin-furst (OWNER/SOLE PROPRIETOR) |
| Authorized Official Contact | 8452941635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Marsin Furst, Lcsw,pllc 25 Main St Ste 2.2 Goshen NY 10924-2144 Ph: (845) 294-6151 | Diane Marsin Furst, Lcsw,pllc 25 Main St Ste 2.2 Goshen NY 10924-2144 Ph: (845) 294-1635 |
| NPI Number | 1003466814 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 06/23/2020 |
| Certification Date | 06/23/2020 |
| Medicare PECOS PAC ID | 9436571395 |
|---|---|
| Medicare Enrollment ID | O20200623000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003466814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane Carol Marsin-furst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134498843 PECOS PAC ID: 0345662201 Enrollment ID: I20200623000964 |
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