Gary Pelosi LCSW

NPI 1003918061 - Social Worker - 1041C0700X

NPI Details
NPI 1003918061
Gender Male
Enumeration Date 09/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3375 PARK AVE
WANTAGH NY, 11793-3733, US
Phone (516) 781-1911
Fax (516) 781-1173
Business Location
3375 PARK AVE
WANTAGH NY, 11793-3733, US
Phone (516) 781-1911
Fax (516) 781-1173
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 041563-1
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According to our database, Gary Pelosi LCSW NPI is 1003918061, taxonomy code is 1041C0700X and license number is 041563-1, license state is located at New York. Gary Pelosi LCSW physically located at 3375 Park Ave, Wantagh NY, 11793-3733. NPI Number Gary Pelosi LCSW has the Individual type.

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1003918061 NPI number is provided on an as is basis without warranty of any kind. 1003918061 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Pelosi LCSW are for informational purposes only.