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NPI Code Detail

MEDICARE: SHEILA NAZARIO LMSW

MEDICARE:   SHEILA  NAZARIO  LMSW
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 Worker083824NY

General Provider Information

NPI Number : 1275770083
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA NAZARIO LMSW
Provider Business Mailing Address
First Line : 579 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5013
Country : US
Telephone Number : 718-485-2100
Fax Number :
Provider Business Practice Location Address
First Line : 579 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5013
Country : US
Telephone Number : 718-485-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2009
Last Update Date : 11/04/2016

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Directions to “ SHEILA NAZARIO LMSW” Practice Location

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