| Nicole Gerace Lcsw Pllc | |
|
8-12 Dietz St Suite 201 Oneonta NY 13820-1849 | |
| (607) 434-9087 | |
| Not Available |
| Full Name | Nicole Gerace Lcsw Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8-12 Dietz St, Oneonta, New York |
| Authorized Official Name and Position | Nicole Gerace (SOLE PROPRIETOR) |
| Authorized Official Contact | 6074329039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Gerace Lcsw Pllc 8-12 Dietz St Suite 201 Oneonta NY 13820-1849 Ph: (607) 432-9039 | Nicole Gerace Lcsw Pllc 8-12 Dietz St Suite 201 Oneonta NY 13820-1849 Ph: (607) 434-9087 |
| NPI Number | 1811430168 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 11/18/2016 |
| Medicare PECOS PAC ID | 9436430139 |
|---|---|
| Medicare Enrollment ID | O20170111000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811430168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R061074 (New York) | Primary |
| Provider Name | Nicole Gerace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164414124 PECOS PAC ID: 7911967054 Enrollment ID: I20041013001107 |
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