| Catholic Guardian Services | |
|
1990 Westchester Ave Bronx NY 10462-4553 | |
| (718) 828-0300 | |
| (718) 838-0300 |
| Full Name | Catholic Guardian Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1990 Westchester Ave, Bronx, New York |
| Authorized Official Name and Position | Mario Espino (FISCAL ACCOUNTANT) |
| Authorized Official Contact | 2123711000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Guardian Services 1011 1st Ave Fl 10 New York NY 10022-4112 Ph: (212) 371-1000 | Catholic Guardian Services 1990 Westchester Ave Bronx NY 10462-4553 Ph: (718) 828-0300 |
| NPI Number | 1588186530 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 07/12/2017 |
| Medicare PECOS PAC ID | 8123371804 |
|---|---|
| Medicare Enrollment ID | O20181025002921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588186530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Milan Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497840524 PECOS PAC ID: 4981703428 Enrollment ID: I20070623000003 |
| Provider Name | Claudio M Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083762587 PECOS PAC ID: 9931269974 Enrollment ID: I20081120000111 |
| Provider Name | Susan M Lotto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609916261 PECOS PAC ID: 7911168042 Enrollment ID: I20120417000040 |
| Provider Name | Carmen Veloz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477766293 PECOS PAC ID: 8325311459 Enrollment ID: I20170912000305 |
| Provider Name | Peter J Trivisonno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366941288 PECOS PAC ID: 6901157064 Enrollment ID: I20180928001693 |
| Provider Name | Martin D Epstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558639948 PECOS PAC ID: 2365787694 Enrollment ID: I20181214001269 |
| Provider Name | Catherine Jean Painter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336270511 PECOS PAC ID: 6204231293 Enrollment ID: I20210830002388 |
| Provider Name | Cynthia J Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841447646 PECOS PAC ID: 9830572155 Enrollment ID: I20220819001221 |
| Provider Name | Pascal Daniel Stirnimann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336736875 PECOS PAC ID: 9436528692 Enrollment ID: I20221209000530 |
| Provider Name | Perpetual Gyimah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275861130 PECOS PAC ID: 1052700044 Enrollment ID: I20240403000222 |
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