| Ivy Rose Cardillo | |
|
429 Mckean St Philadelphia PA 19148-2524 | |
| (971) 270-0829 | |
| Not Available |
| Full Name | Ivy Rose Cardillo |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 429 Mckean St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ivy Rose Cardillo (OWNER) |
| Authorized Official Contact | 9712700829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Rose Cardillo 429 Mckean St Philadelphia PA 19148-2524 Ph: () - | Ivy Rose Cardillo 429 Mckean St Philadelphia PA 19148-2524 Ph: (971) 270-0829 |
| NPI Number | 1053130047 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053130047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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