| Guy C Pasculli Lcsw Pc | |
|
260 Madison Ave Ste 8089 New York NY 10016-2400 | |
| (212) 929-5729 | |
| (315) 750-3224 |
| Full Name | Guy C Pasculli Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 260 Madison Ave Ste 8089, New York, New York |
| Authorized Official Name and Position | Guy C Pasculli (OWNER) |
| Authorized Official Contact | 2129295729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guy C Pasculli Lcsw Pc 200 W 18th St Apt 5h New York NY 10011-4521 Ph: (212) 929-5729 | Guy C Pasculli Lcsw Pc 260 Madison Ave Ste 8089 New York NY 10016-2400 Ph: (212) 929-5729 |
| NPI Number | 1114558384 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Medicare PECOS PAC ID | 5890124135 |
|---|---|
| Medicare Enrollment ID | O20200407002700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114558384 | NPI | - | NPPES |
| 1041C0700X | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Guy C Pasculli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053570598 PECOS PAC ID: 7315010782 Enrollment ID: I20080717000447 |
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