Alexa Servodidio Lcsw Pllc | |
585 N Barry Ave Mamaroneck NY 10543-1633 | |
(914) 396-2435 | |
Not Available |
Full Name | Alexa Servodidio Lcsw Pllc |
---|---|
Speciality | Clinic/Center |
Location | 585 N Barry Ave, Mamaroneck, New York |
Authorized Official Name and Position | Alexa A Servodidio (OWNER) |
Authorized Official Contact | 9143962435 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alexa Servodidio Lcsw Pllc 585 N Barry Ave Mamaroneck NY 10543-1633 Ph: (914) 396-2435 | Alexa Servodidio Lcsw Pllc 585 N Barry Ave Mamaroneck NY 10543-1633 Ph: (914) 396-2435 |
NPI Number | 1841545886 |
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Provider Enumeration Date | 07/16/2012 |
Last Update Date | 09/28/2012 |
Medicare PECOS PAC ID | 3072762459 |
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Medicare Enrollment ID | O20120928000036 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841545886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Alexa A Servodidio |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235376435 PECOS PAC ID: 9133376049 Enrollment ID: I20120829000086 |
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