| Nancy Lynn Burgos Lcsw Pllc | |
|
9129 120th St Richmond Hill NY 11418-3215 | |
| (347) 683-6628 | |
| Not Available |
| Full Name | Nancy Lynn Burgos Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 9129 120th St, Richmond Hill, New York |
| Authorized Official Name and Position | Nancy Lynn Burgos (OWNER) |
| Authorized Official Contact | 3476836628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Lynn Burgos Lcsw Pllc 9129 120th St Richmond Hill NY 11418-3215 Ph: (347) 683-6628 | Nancy Lynn Burgos Lcsw Pllc 9129 120th St Richmond Hill NY 11418-3215 Ph: (347) 683-6628 |
| NPI Number | 1922644772 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 11/26/2019 |
| Medicare PECOS PAC ID | 5698105476 |
|---|---|
| Medicare Enrollment ID | O20200417002870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922644772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy L Burgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528229150 PECOS PAC ID: 9133286578 Enrollment ID: I20090330000315 |
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