Provider Demographics
NPI:1316695778
Name:RESIMO, JOSH (BSW)
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:
Last Name:RESIMO
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 W CHEMUNG ST SUITE 103
Mailing Address - Street 2:
Mailing Address - City:PAINTED POST
Mailing Address - State:NY
Mailing Address - Zip Code:14870-1300
Mailing Address - Country:US
Mailing Address - Phone:607-973-2262
Mailing Address - Fax:
Practice Address - Street 1:126 W CHEMUNG ST SUITE 103
Practice Address - Street 2:
Practice Address - City:PAINTED POST
Practice Address - State:NY
Practice Address - Zip Code:14870-1300
Practice Address - Country:US
Practice Address - Phone:607-973-2262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty