| Debra Santora Lcsw Pc | |
|
316 Titusville Rd Ste B Poughkeepsie NY 12603-2944 | |
| (914) 450-9474 | |
| Not Available |
| Full Name | Debra Santora Lcsw Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 316 Titusville Rd Ste B, Poughkeepsie, New York |
| Authorized Official Name and Position | Debra Santora (PRESIDENT) |
| Authorized Official Contact | 9144509474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Santora Lcsw Pc 189 Reilly Rd Lagrangeville NY 12540-6100 Ph: (914) 450-9474 | Debra Santora Lcsw Pc 316 Titusville Rd Ste B Poughkeepsie NY 12603-2944 Ph: (914) 450-9474 |
| NPI Number | 1801475835 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 04/06/2021 |
| Certification Date | 03/23/2021 |
| Medicare PECOS PAC ID | 4082023155 |
|---|---|
| Medicare Enrollment ID | O20210503001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801475835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Debra Santora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043369663 PECOS PAC ID: 6002880846 Enrollment ID: I20040825001530 |
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