PAUL J BOTTICELLI CSW

Dr PAUL J BOTTICELLI CSW is a male medical professional, specializing in Clinical Social Worker. He graduated in 1983.

Contact

100 S JERSEY AVE
SUITE 42
EAST SETAUKET
NY
117332060

Tel: 6316891728

PAUL J BOTTICELLI CSW Information

Npi 1457499808
Pac Id 7517926702
Professional Enrollment Id I20041004001061
Last Name BOTTICELLI
First Name PAUL
Middle Name J
Suffix
Gender M
Credential CSW
Medical School Name OTHER
Graduation Year 1983
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 100 S JERSEY AVE
Line 2 Street Address SUITE 42
Marker Of Address Line 2 Suppression
City EAST SETAUKET
State NY
Zip Code 117332060
Phone Number 6316891728
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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