| Maria Horan Lcsw Pc | |
|
2626 Genesee St Utica NY 13502-6003 | |
| (315) 724-5344 | |
| Not Available |
| Full Name | Maria Horan Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 2626 Genesee St, Utica, New York |
| Authorized Official Name and Position | Maria Horan (OWNER) |
| Authorized Official Contact | 3157245344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Horan Lcsw Pc 2626 Genesee St Utica NY 13502-6003 Ph: (315) 724-5344 | Maria Horan Lcsw Pc 2626 Genesee St Utica NY 13502-6003 Ph: (315) 724-5344 |
| NPI Number | 1710135439 |
|---|---|
| Provider Enumeration Date | 09/05/2008 |
| Last Update Date | 09/05/2008 |
| Medicare PECOS PAC ID | 3476616665 |
|---|---|
| Medicare Enrollment ID | O20090114000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710135439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maria O Horan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124197835 PECOS PAC ID: 8325945405 Enrollment ID: I20031217000158 |
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