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NPI Code Detail

MEDICARE: MS. ZIPORA F MASSIS LCSW

MEDICARE: MS. ZIPORA F MASSIS 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 WorkerR053981NY

General Provider Information

NPI Number : 1265529218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ZIPORA F MASSIS LCSW
Provider Business Mailing Address
First Line : 12212 HILLSIDE AVE
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-1814
Country : US
Telephone Number : 718-847-3695
Fax Number : 718-847-3078
Provider Business Practice Location Address
First Line : 6355 BROADWAY
Second Line :
City : BRONX
State : NY
Zip : 10471-2701
Country : US
Telephone Number : 718-796-4424
Fax Number : 718-796-4138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 07/08/2007

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