Provider Demographics
NPI:1093320798
Name:ALBANO FISCHETTI CONSULTATION CENTER INC.
Entity Type:Organization
Organization Name:ALBANO FISCHETTI CONSULTATION CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:646-201-0190
Mailing Address - Street 1:8312 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2936
Mailing Address - Country:US
Mailing Address - Phone:718-745-7552
Mailing Address - Fax:718-921-9758
Practice Address - Street 1:8312 12TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2936
Practice Address - Country:US
Practice Address - Phone:718-745-7552
Practice Address - Fax:718-921-9758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health