Giannico, Susan

Giannico, Susan is an individual health care provider with primary practice located at 61 E Main St , Washingtonville NY 10992. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Giannico, Susan can be contacted via phone (845) 496-4919.

Contact Information

Primary practice address
61 E Main St Washingtonville NY 10992
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0280991 New York

Profile Details

NPI number 1114065364
LBN Legal business name Giannico, Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114065364 NPPES
New York MEDICAID 02261118
New York Other 7927388
New York Other 133120

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