Provider Demographics
NPI:1083378442
Name:FLORIO, SEBASTIAN JAMES
Entity Type:Individual
Prefix:MR
First Name:SEBASTIAN
Middle Name:JAMES
Last Name:FLORIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 VOORHIES AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2415
Mailing Address - Country:US
Mailing Address - Phone:917-318-9694
Mailing Address - Fax:
Practice Address - Street 1:2705 VOORHIES AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2415
Practice Address - Country:US
Practice Address - Phone:917-318-9694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty