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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912217233 | NPPES |
| New York | MEDICAID | 01379982 |
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