| Patricia M. Wilkins-vacca, Lcsw, Pc | |
|
504 Haight Ave Poughkeepsie NY 12603-2479 | |
| (845) 527-9456 | |
| (845) 473-0628 |
| Full Name | Patricia M. Wilkins-vacca, Lcsw, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 504 Haight Ave, Poughkeepsie, New York |
| Authorized Official Name and Position | Patricia M Wilkins-vacca (PRESIDENT) |
| Authorized Official Contact | 8455279456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia M. Wilkins-vacca, Lcsw, Pc 32 E Bank Rd Poughkeepsie NY 12603-1432 Ph: (845) 527-9456 | Patricia M. Wilkins-vacca, Lcsw, Pc 504 Haight Ave Poughkeepsie NY 12603-2479 Ph: (845) 527-9456 |
| NPI Number | 1407074065 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407074065 | NPI | - | NPPES |
| 02469689 | Medicaid | NY | |
| 7496661 | Other | NY | AETNA |
| P2586785 | Other | NY | OXFORD |
| 781305 | Other | NY | MVP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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