Pizzollo, Rocco R

Pizzollo, Rocco R is an individual health care provider with primary practice located at 117 Old Loudon Rd , Latham NY 12110-4008. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Pizzollo, Rocco R can be contacted via phone (518) 786-8012.

Contact Information

Primary practice address
117 Old Loudon Rd Latham NY 12110-4008
Fax: (518) 782-0455
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R033734-1 New York

Profile Details

NPI number 1518981117
LBN Legal business name Pizzollo, Rocco R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 9th, 2007 - about 17 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 1518981117 NPPES
New York MEDICAID 01940936

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