Giancarlo, Thomas Joseph

Giancarlo, Thomas Joseph is an sole proprietor health care provider with primary practice located at 1631 Hertel Ave , Buffalo NY 14216-2908. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Giancarlo, Thomas Joseph can be contacted via phone (716) 833-8800.

Contact Information

Primary practice address
1631 Hertel Ave Buffalo NY 14216-2908
Phone: (716) 833-8800
Fax: (716) 876-5730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR017949-1 New York

Profile Details

NPI number 1326014713
LBN Legal business name Giancarlo, Thomas Joseph
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1326014713 NPPES
New York MEDICAID 02147946

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