Healthcare Provider Details

I. General information

NPI: 1770236168
Provider Name (Legal Business Name): TERESA VUOSO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NYU LANGONE HEALTH 1220 AVENUE P
BROOKLYN NY
11229
US

IV. Provider business mailing address

1220 AVENUE P RM 305
BROOKLYN NY
11229-1009
US

V. Phone/Fax

Practice location:
  • Phone: 718-376-1004
  • Fax: 929-455-9065
Mailing address:
  • Phone: 718-376-1004
  • Fax: 929-455-9065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080831
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: