Most Relevant Information
Provider Data
| NPI Number: | 1003031519 |
| Provider Name: | MICHELLE LOUISE BOSCO L.M.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 073341-1 |
Most Important Dates
| Enumeration Date: | 04/17/2007 |
| Last Updated: | 04/22/2010 |
Provider Practice Location
14 SLOSSON TER
STATEN ISLAND
NY
103012507
Practice Location Phone/Fax
| Phone: | 7187206727 |
| Fax: | 7187200326 |
Provider Mailing Location
278 ASHWORTH AVE
STATEN ISLAND
NY
103144912
Provider Mailing Phone/Fax
| Phone: | 7184943341 |
| Fax: |