| Robert J. Foresti, Lcsw, Pllc | |
|
4914 W Genesee St Camillus NY 13031-2374 | |
| (315) 636-0120 | |
| Not Available |
| Full Name | Robert J. Foresti, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4914 W Genesee St, Camillus, New York |
| Authorized Official Name and Position | Robert Foresti (OWNER/MANAGER) |
| Authorized Official Contact | 3156360120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Foresti, Lcsw, Pllc 4914 W Genesee St Camillus NY 13031-2374 Ph: () - | Robert J. Foresti, Lcsw, Pllc 4914 W Genesee St Camillus NY 13031-2374 Ph: (315) 636-0120 |
| NPI Number | 1174145601 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 05/10/2020 |
| Certification Date | 05/10/2020 |
| Medicare PECOS PAC ID | 7012330616 |
|---|---|
| Medicare Enrollment ID | O20200714002818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174145601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert J Foresti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003925165 PECOS PAC ID: 4486754033 Enrollment ID: I20070711000517 |
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