Jennifer L Costello-siri (NPI# 1053557298, PAC ID# 2365671393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1053557298 |
| PAC ID by PECOS | 2365671393 |
| Professional Enrollment ID | I20170125002339 |
| Full Name | Jennifer L Costello-siri |
| Organization Legal Name | SENIOR CARE THERAPY OF PENNSYLVANIA LLC |
| Address |
815 Chester Pike Prospect Park PA 19076-2322 |
| Phone Number | 9732640023 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2264791268 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Ctr Blvd, Suite 240, Chester, PA 19013-3902 | 6105417927 | PROSPECT HEALTH ACCESS NETWORK INC |
| 815 Chester Pike, Prospect Park, PA 19076-2322 | 9732640023 | SENIOR CARE THERAPY OF PENNSYLVANIA LLC |
| Organization Legal Name | SENIOR CARE THERAPY OF PENNSYLVANIA LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia J Corbin | Clinical Social Worker | Senior Care Therapy of Pennsylvania LLC | 815 Chester Pike, Prospect Park, PA 19076-2322 |
| Richard Albert Gaudet | Psychologist, Clinical | Senior Care Therapy of Pennsylvania LLC | 815 Chester Pike, Prospect Park, PA 19076-2322 |
| Street Address |
815 CHESTER PIKE |
| City | PROSPECT PARK |
| State | PA |
| Zip | 19076-2322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia J Corbin | Clinical Social Worker | Senior Care Therapy of Pennsylvania LLC | 815 Chester Pike, Prospect Park, PA 19076-2322 |
| Richard Albert Gaudet | Psychologist, Clinical | Senior Care Therapy of Pennsylvania LLC | 815 Chester Pike, Prospect Park, PA 19076-2322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mukesh Patel | Internal Medicine | 1421 Lincoln Ave, Prospect Park, PA 19076-1107 | |
| Albert Scott Lakernick | Chiropractic | 625 Chester Pike, Prospect Park, PA 19076-1506 |
| City | PROSPECT PARK |
| Zip Code | 19076 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PROSPECT PARK + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jennifer L Costello-siri.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.