MEDICARE: NORMA D. ESPINOZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1023388493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA D. ESPINOZA

Provider Business Mailing Address
First Line	:	217 HAVEMEYER ST
Second Line	:	4TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11211-6288
Country	:	US
Telephone Number	:	718-963-4430
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 HAVEMEYER ST
Second Line	:	4TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11211-6288
Country	:	US
Telephone Number	:	718-963-4430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2012
Last Update Date	:	01/04/2012

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