| Four Bridges Social Work Services Lcsw Pc | |
|
88 New Dorp Plz S Suite 203 Staten Island NY 10306-2966 | |
| (718) 815-3500 | |
| (718) 764-6064 |
| Full Name | Four Bridges Social Work Services Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 88 New Dorp Plz S, Staten Island, New York |
| Authorized Official Name and Position | Nanette Fleischer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7188153500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Bridges Social Work Services Lcsw Pc 88 New Dorp Plz S Suite 203 Staten Island NY 10306-2966 Ph: (718) 815-3500 | Four Bridges Social Work Services Lcsw Pc 88 New Dorp Plz S Suite 203 Staten Island NY 10306-2966 Ph: (718) 815-3500 |
| NPI Number | 1851721955 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 03/23/2015 |
| Medicare PECOS PAC ID | 7315161130 |
|---|---|
| Medicare Enrollment ID | O20140618001551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851721955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 73 081136 (New York) | Primary |
| Provider Name | Nanette I Fleischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710176078 PECOS PAC ID: 5294959011 Enrollment ID: I20140618001805 |
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