Patricia Bacchus LCSW

NPI 1295891505 - Social Worker - 104100000X

NPI Details
NPI 1295891505
Gender Female
Enumeration Date 12/29/2006
Last Updated 10/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
108-19 ROCKAWAY BLVD
OZONE PARK NY, 11420, US
Phone (718) 845-2620
Fax (718) 845-9380
Business Location
20-02 SEAGIRT BLVD
APT 2A
FAR ROCKAWAY NY, 11691, US
Phone (718) 845-2620
Fax (718) 845-9380
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 00070937
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According to our database, Patricia Bacchus LCSW NPI is 1295891505, taxonomy code is 104100000X and license number is 00070937, license state is located at New York. Patricia Bacchus LCSW physically located at 108-19 Rockaway Blvd, Ozone Park NY, 11420. NPI Number Patricia Bacchus LCSW has the Individual type.

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1295891505 NPI number is provided on an as is basis without warranty of any kind. 1295891505 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Bacchus LCSW are for informational purposes only.