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Provider Information for 1144820432

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know


Gender: FEMALE

Individual NPI: 1144820432

Calendar   Last Updated:  2020-10-27
  Certification Date:  2020-10-27


Name Value
NPI 1144820432
Enumeration Date 2020-10-27
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 178 DRIGGS AVE APT 4F
BROOKLYN, NY 11222-4657
United States

Phone: 860-890-1031 | Fax:
View Map External Link
Primary Practice Address 32 UNION SQ E STE 411
NEW YORK, NY 10003-3245
United States

Phone: 212-678-0252 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Primary Taxonomy Selected Taxonomy State License Number
Yes 104100000X - Social Worker