| Petronio Counseling - Lcsw, Pllc | |
|
95 Allens Creek Road Building 2, Suite 219 Rochester NY 14618 | |
| (585) 484-7784 | |
| (585) 304-7397 |
| Full Name | Petronio Counseling - Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 95 Allens Creek Road, Rochester, New York |
| Authorized Official Name and Position | Andrew Petronio (OWNER) |
| Authorized Official Contact | 5854847784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Petronio Counseling - Lcsw, Pllc 95 Allens Creek Road Building 2, Suite 219 Rochester NY 14618 Ph: (585) 484-7784 | Petronio Counseling - Lcsw, Pllc 95 Allens Creek Road Building 2, Suite 219 Rochester NY 14618 Ph: (585) 484-7784 |
| NPI Number | 1245962091 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Medicare PECOS PAC ID | 3779962113 |
|---|---|
| Medicare Enrollment ID | O20220615001926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245962091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrew M Petronio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912984147 PECOS PAC ID: 8729062526 Enrollment ID: I20040617001314 |
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