MEDICARE: DR. ALFRED CARLOMAGNO D.S.W.

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	RO16319	NY

General Provider Information

NPI Number	:	1144207085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED CARLOMAGNO D.S.W.

Provider Business Mailing Address
First Line	:	CMR 414 BOX 1051
Second Line	:
City	:	APO
State	:	AE
Zip	:	09173-1051
Country	:	US
Telephone Number	:	314-466-4625
Fax Number	:	314-466-2065

Provider Business Practice Location Address
First Line	:	CMR 414 BOX 1051
Second Line	:
City	:	APO
State	:	AE
Zip	:	09173-1051
Country	:	US
Telephone Number	:	314-466-4625
Fax Number	:	314-466-2065

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	09/09/2008

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Directions to “ DR. ALFRED CARLOMAGNO D.S.W.” Practice Location

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