Gary Pelosi is a Clinical in Wantagh, New York. Gary Pelosi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Pelosi is 1003918061. The last update date is 2007-07-08.
Gary Pelosi's current location address is 3375 Park Ave, Wantagh, New York. You can contact this provider via phone number 5167811911 and fax number 5167811173. The mailing address for Gary Pelosi is 3375 Park Ave, Wantagh, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Pelosi |
|---|---|
| Address | 3375 Park Ave, Wantagh, New York |
| Phone Number | 5167811911 |
| Fax Number | 5167811173 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1003918061 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3375 Park Ave |
|---|---|
| City | Wantagh |
| State | New York (NY) |
| Post Code | 117933733 |
| Phone Number | 5167811911 |
| Fax Number | 5167811173 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 041563-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Gary Pelosi by the Centers for Medicare & Medicaid Services?
The Gary Pelosi has been assigned the NPI (National Provider Identifier) 1003918061. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Pelosi?
The Gary Pelosi is situated at 3375 Park Ave, in the city of Wantagh, state of NY, with the zip code 117933733.
What is Gary Pelosi's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Pelosi's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Gary Pelosi receive the assignment of its 1003918061 from the Centers for Medicare & Medicaid Services?
The Gary Pelosi was issued its 1003918061 by the Centers for Medicare & Medicaid Services on 2006-09-01.
As of what date were the details pertaining to Gary Pelosi last refreshed?
The information related to the Gary Pelosi, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1063415297
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