| Mr Alexander Jose Portillo, LCSW | |
|
742 James St, Syracuse, NY 13203-2017 | |
| (315) 703-2804 | |
| Not Available |
| Full Name | Mr Alexander Jose Portillo |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 742 James St, Syracuse, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366148884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 098994 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Josephs Hospital Health Center | 9234043324 | 106 |
| Entity Name | St Josephs Hospital Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508815333 PECOS PAC ID: 9234043324 Enrollment ID: O20031113000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alexander Jose Portillo, LCSW 890 Seventh North St, Ste 200, Liverpool, NY 13088-4980 Ph: () - | Mr Alexander Jose Portillo, LCSW 742 James St, Syracuse, NY 13203-2017 Ph: (315) 703-2804 |
Ross Loucy, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 620 Madison St, Syracuse, NY 13210 Phone: 315-426-7675 | |
Andrea Rosa Vergara, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1045 James St, Syracuse, NY 13203 Phone: 315-472-4471 | |
Katie Arney-rattray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Bellevue Ave, Syracuse, NY 13219 Phone: 315-288-6849 | |
Britney Parente, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 James Street, Syracuse, NY 13206 Phone: 315-422-0300 | |
Bryan Asher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 Erie Blvd W, Syracuse, NY 13204 Phone: 315-425-3478 | |
Maryjane Quenneville, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Northern Lights Dr Ste 20, Syracuse, NY 13212 Phone: 315-326-1008 | |
Jacqueline C Berry, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 E Genesee St, Suite 217, Syracuse, NY 13202 Phone: 315-422-0300 Fax: 315-479-8455 |