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NPI Code Detail

MEDICARE: MS. CHRISTINA JANE TSAKOS LMSW

MEDICARE: MS. CHRISTINA JANE TSAKOS LMSW
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
11041C0700XClinical Social Worker078886-1NY

General Provider Information

NPI Number : 1053352757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA JANE TSAKOS LMSW
Provider Business Mailing Address
First Line : 800 POLY PL
Second Line : MS-122
City : BROOKLYN
State : NY
Zip : 11209-7104
Country : US
Telephone Number : 718-836-6600
Fax Number :
Provider Business Practice Location Address
First Line : 800 POLY PL RM 9-325
Second Line : DEPT OF VETERANS AFFAIRS NEW YORK HARBOR HEALTHCARE SYS
City : BROOKLYN
State : NY
Zip : 11209-7104
Country : US
Telephone Number : 718-836-6600
Fax Number : 718-630-2863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 09/07/2011

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