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NPI Code Detail

MEDICARE: MS. LINDA WASHINGTON

MEDICARE:  MS. LINDA  WASHINGTON
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 Worker0749801NY

General Provider Information

NPI Number : 1093257925
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA WASHINGTON
Provider Business Mailing Address
First Line : 3131 GRAND CONCOURSE
Second Line : APT 4G
City : BRONX
State : NY
Zip : 10468-1442
Country : US
Telephone Number : 718-617-1068
Fax Number :
Provider Business Practice Location Address
First Line : 3131 GRAND CONCOURSE
Second Line : APT 4G
City : BRONX
State : NY
Zip : 10468-1442
Country : US
Telephone Number : 718-617-1068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2016
Last Update Date : 11/09/2016

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