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NPI Code Detail

MEDICARE: ANNALISA MANCINI, LCSW P.C.

MEDICARE: ANNALISA MANCINI, LCSW P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1780408179
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANNALISA MANCINI, LCSW P.C.
Provider Business Mailing Address
First Line : 27 TANAGER RD
Second Line :
City : MAHOPAC
State : NY
Zip : 10541-2355
Country : US
Telephone Number : 914-673-3196
Fax Number :
Provider Business Practice Location Address
First Line : 220 ROUTE 6
Second Line :
City : MAHOPAC
State : NY
Zip : 10541-3850
Country : US
Telephone Number : 914-673-3196
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANNALISA MANCINI
Credential : LCSW
Telephone Number : 914-673-3196
Provider Enumeration Date : 11/12/2024
Last Update Date : 11/12/2024

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