Erin Garti Lcsw Pllc | |
12 Beecher St Coram NY 11727-3501 | |
(631) 834-0274 | |
Not Available |
Full Name | Erin Garti Lcsw Pllc |
---|---|
Speciality | Social Worker |
Location | 12 Beecher St, Coram, New York |
Authorized Official Name and Position | Erin N Garti (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6318340274 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Erin Garti Lcsw Pllc 12 Beecher St Coram NY 11727-3501 Ph: (631) 834-0274 | Erin Garti Lcsw Pllc 12 Beecher St Coram NY 11727-3501 Ph: (631) 834-0274 |
NPI Number | 1154902658 |
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Provider Enumeration Date | 04/16/2021 |
Last Update Date | 04/16/2021 |
Certification Date | 04/15/2021 |
Medicare PECOS PAC ID | 6800297367 |
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Medicare Enrollment ID | O20210622002924 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154902658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Erin Garti |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508196874 PECOS PAC ID: 9436449337 Enrollment ID: I20160606001558 |
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