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Carlos Alberto Campetta

Social Worker

Behavioral Health & Social Service Providers

225 W 35th St Fl 7, New York, NY 10001-1904

PECOS Enrollment

This provider is enrolled in PECOS as CARLOS CAMPETTA.

Based on the most recent information from CMS, provider Carlos Alberto Campetta is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:56 PM.

Profile Details

Provider ID
1871674283
Provider Type
Individual
Full Name
Campetta, Carlos Alberto
Title
Mr.
Credential
MSW, LCSW-R

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/19/2006
Last Updated
11/11/2018

Contact Information

Practice Location

225 W 35th St Fl 7, New York, NY 10001-1904

(917) 287-8164

Unlisted Fax

Mailing Location

175 W 93rd St Apt 6j, New York, NY 10025-9326

(917) 287-8164

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 077218 New York

Carlos Alberto Campetta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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