| Joseph A Logiudice Lcsw Psychotherapist Pc | |
|
116 W 23rd St Ste 500 New York NY 10011-2599 | |
| (212) 710-2618 | |
| (212) 652-9439 |
| Full Name | Joseph A Logiudice Lcsw Psychotherapist Pc |
|---|---|
| Speciality | Social Worker |
| Location | 116 W 23rd St Ste 500, New York, New York |
| Authorized Official Name and Position | Joseph Anthony Logiudice (OWNER) |
| Authorized Official Contact | 9175584456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Logiudice Lcsw Psychotherapist Pc 260 W 52nd St Apt 10j New York NY 10019-5834 Ph: (917) 558-4456 | Joseph A Logiudice Lcsw Psychotherapist Pc 116 W 23rd St Ste 500 New York NY 10011-2599 Ph: (212) 710-2618 |
| NPI Number | 1528769676 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 8022477793 |
|---|---|
| Medicare Enrollment ID | O20230629000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528769676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joseph A Logiudice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326375890 PECOS PAC ID: 4183081748 Enrollment ID: I20230629000849 |
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