G.suero, Lcsw- Psychotherapy Pllc | |
1272 Richmond Rd Suite 3 Staten Island NY 10304-2304 | |
(347) 441-3706 | |
(347) 855-2591 |
Full Name | G.suero, Lcsw- Psychotherapy Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1272 Richmond Rd, Staten Island, New York |
Authorized Official Name and Position | Gilberto Suero (OWNER) |
Authorized Official Contact | 3474413706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
G.suero, Lcsw- Psychotherapy Pllc 1272 Richmond Rd Suite 3 Staten Island NY 10304-2304 Ph: (347) 441-3706 | G.suero, Lcsw- Psychotherapy Pllc 1272 Richmond Rd Suite 3 Staten Island NY 10304-2304 Ph: (347) 441-3706 |
NPI Number | 1023427184 |
---|---|
Provider Enumeration Date | 08/03/2014 |
Last Update Date | 08/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023427184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 079954 (New York) | Primary |
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