| L. Brian Cistola Lcsw-r Pc | |
|
20 Old Nyack Tpke Ste 306 Nanuet NY 10954-2530 | |
| (845) 353-1433 | |
| Not Available |
| Full Name | L. Brian Cistola Lcsw-r Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 20 Old Nyack Tpke Ste 306, Nanuet, New York |
| Authorized Official Name and Position | Lawrence Cistola (SOLE PROPRIETOR) |
| Authorized Official Contact | 8453531433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L. Brian Cistola Lcsw-r Pc 20 Old Nyack Tpke Ste 306 Nanuet NY 10954-2530 Ph: () - | L. Brian Cistola Lcsw-r Pc 20 Old Nyack Tpke Ste 306 Nanuet NY 10954-2530 Ph: (845) 353-1433 |
| NPI Number | 1417248576 |
|---|---|
| Provider Enumeration Date | 04/25/2011 |
| Last Update Date | 04/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417248576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | R049815-1 (New York) | Primary |
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