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NPI Code Detail

MEDICARE: MRS. ELIANA DENARO MSW

MEDICARE:  MRS. ELIANA  DENARO  MSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1194945626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIANA DENARO MSW
Provider Business Mailing Address
First Line : 120 PINE ST
Second Line :
City : PORT JEFFERSON STATION
State : NY
Zip : 11776-3149
Country : US
Telephone Number : 631-369-0104
Fax Number : 631-369-5433
Provider Business Practice Location Address
First Line : 208 ROANOKE AVE
Second Line :
City : RIVERHEAD
State : NY
Zip : 11901-2706
Country : US
Telephone Number : 631-369-0104
Fax Number : 631-369-5433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ELIANA DENARO MSW” Practice Location

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