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NPI Code Detail

MEDICARE: CORINNE VARNAVIDES LCSW

MEDICARE: CORINNE VARNAVIDES LCSW
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 Worker073024-1NY

General Provider Information

NPI Number : 1205145323
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE VARNAVIDES LCSW
Provider Business Mailing Address
First Line : 379 MT HOPE RD
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-7135
Country : US
Telephone Number : 845-344-2292
Fax Number : 845-342-2054
Provider Business Practice Location Address
First Line : 379 MT HOPE RD
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-7135
Country : US
Telephone Number : 845-344-2292
Fax Number : 845-342-2054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 10/07/2010

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