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MR. JOE FATULA LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1831312214
Individual Registrant:MR. JOE FATULA LCSW
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
8724 CHELSEA STREET JAMAICA ESTATES, NY 11432-2439 US
Tel: 718-291-9246 Fax: --
Tel: 718-291-9246 Fax: --
Contact information for business:
8724 CHELSEA STREET JAMAICA ESTATES, NY 11432-2439 US
Tel: 718-291-9246 Fax: --
Tel: 718-291-9246 Fax: --
Registration Information:
NPI: 1831312214
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | NY | R27971 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
