Viscosi, Marcella P

Viscosi, Marcella P is an individual health care provider with primary practice located at 110 North Country Road , Mount Sinai NY 11766-1525. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Viscosi, Marcella P can be contacted via phone (631) 870-2612.

Contact Information

Primary practice address
110 North Country Road Mount Sinai NY 11766-1525
Phone: (631) 870-2612
Fax: (631) 870-2625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 043228 New York

Profile Details

NPI number 1912217233
LBN Legal business name Viscosi, Marcella P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Oct 20th, 2010 - about 14 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 1912217233 NPPES
New York MEDICAID 01379982

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