Alejandro Valdivieso | New York, NY • PECOS Search

Alejandro Valdivieso

Counselor

Behavioral Health & Social Service Providers

28 W 25th St Fl 10, New York, NY 10010-2736

(646) 767-6330 (312) 497-8957

PECOS Enrollment

Based on the most recent information from CMS, provider Alejandro Valdivieso 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 today at 9:42 AM.

Profile Details

Provider ID
1780312900
Provider Type
Individual
Full Name
Valdivieso, Alejandro
Gender
Male

Sole Proprietor
No
Enumeration Date
8/15/2022
Last Updated
8/15/2022

Contact Information

Practice Location

28 W 25th St Fl 10, New York, NY 10010-2736

Unlisted Fax

Mailing Location

420 Central Park W Apt 1c, New York, NY 10025-4311

Unlisted Fax

Provider Taxonomies

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