Gary Bisogna | Staten Island, NY • PECOS Search

Gary Bisogna

Counselor

Behavioral Health & Social Service Providers

2285 Victory Blvd, Staten Island, NY 10314-6625

PECOS Enrollment

Based on the most recent information from CMS, provider Gary Bisogna does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1588948426
Provider Type
Individual
Full Name
Bisogna, Gary
Credential
LMHC, CEAP

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/10/2011
Last Updated
10/10/2011

Contact Information

Practice Location

2285 Victory Blvd, Staten Island, NY 10314-6625

Unlisted Fax

Mailing Location

174 Woolley Ave, Staten Island, NY 10314-2646

(718) 667-2498

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 000907 New York