Search › New York › 1041C0700X
John Tavolacci, LCSW
NPI 1750823506 · on the registry since 2016 · sole proprietor
Practice
- Address
- 120 Wall St
17th Floor
New York, NY 10005 - Phone
- (212) 361-1622
- Fax
- (212) 361-3761
- Organisation at this address
- Sorin Medical Pc
Sorin Ambulatory, Llc
Concepts Of Independence, Inc.
Concepts Of Independent Choices, Inc.
Partnership For Innovative Comprehensive Care, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York