Provider Information for 1184633588
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Mr. EDWARD M. BACIGALUPO LCSW
Sex: Male
NPI: 1184633588
Last Updated: 2013-08-09
Certification Date:
Certification Date:
Details
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NPI | 1184633588 | ||||||||||||
Enumeration Date | 2006-08-05 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 6 GLENVILLE RD NEW FAIRFIELD, CT 06812-3737 United States Phone: 917-886-5284 | Fax: | ||||||||||||
Primary Practice Address | 275 NORTH ST SUITE G514 HARRISON, NY 10528-1140 United States Phone: 917-886-5284 | Fax: | ||||||||||||
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