Individual
CATHRYN J BISACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17810 WEXFORD TER, ADVANCED CENTER FOR PSYCHOTHERAPY, JAMAICA, NY 11432-3050
(718) 658-1123
Mailing address
16 HARVARD ST, GARDEN CITY, NY 11530-4004
(516) 488-1599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
72076925
NY
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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