Marie Mistretta in Williston Park - Clinical

Marie Mistretta - NPI 1013036748

Marie Mistretta is a Clinical in Williston Park, New York. Marie Mistretta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marie Mistretta is 1013036748. The last update date is 2007-07-08.

Marie Mistretta's current location address is 101 Hillside Ave, Williston Park, New York. You can contact this provider via phone number 5162484581 and fax number 5162484581. The mailing address for Marie Mistretta is 101 Hillside Ave, Williston Park, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Marie Mistretta
Address 101 Hillside Ave, Williston Park, New York
Phone Number 5162484581
Fax Number 5162484581
Sole Proprietor Y
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1013036748
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 101 Hillside Ave
City Williston Park
State New York (NY)
Post Code 115962347
Phone Number 5162484581
Fax Number 5162484581

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R016968
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P3637040 NY OXFORD
62688 NY VALUE OPTIONS
NX4412 NY BC BS EMPIRE NY
7404230 NY GHI NY

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FAQs about Marie Mistretta

What is the unique identifier code issued to Marie Mistretta by the Centers for Medicare & Medicaid Services (CMS)?

The Marie Mistretta has been assigned the NPI (National Provider Identifier) 1013036748. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Marie Mistretta?

The Marie Mistretta is physically situated at 101 Hillside Ave, in the city of Williston Park, state of NY, with the postal code 115962347.

What is the area of specialization for Marie Mistretta, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marie Mistretta is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date was the 1013036748 assigned to Marie Mistretta?

The Marie Mistretta was issued its 1013036748 on 2007-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Marie Mistretta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Marie Mistretta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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