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Provider Information for 1407257769


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EMILIA POVERIN LCSW


Sex: Female

NPI: 1407257769
Last Updated: 2024-01-09
Certification Date: 2024-01-09

Details

NameValue
NPI1407257769
Enumeration Date2014-09-05
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 44 COURT STREET 5TH FLOOR
BROOKLYN, NY 11234
United States

Phone: | Fax:
 
Primary Practice Address 44 COURT STREET 5TH FL
BROOKLYN, NY 11234
United States

Phone: 718-415-0775 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker NY093299