Individual ProviderRobert MusacchioCounselorBehavioral Health & Social Service ProvidersPractice Address563 Ingram Ave, Staten Island, NY 10314-4415(718) 354-0237PECOS EnrollmentBased on the most recent information from CMS, provider Robert Musacchio is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1205589199Provider TypeIndividualFull NameMusacchio, RobertCredentialCASAC, LMHCGenderMaleSole ProprietorYesEnumeration Date1/31/2022Last Updated1/31/2022Contact InformationPractice LocationPractice Address563 Ingram Ave, Staten Island, NY 10314-4415Phone(718) 354-0237FaxUnlisted FaxMailing LocationMailing Address563 Ingram Ave, Staten Island, NY 10314-4415Phone(718) 354-0237FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense000500New York