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NPI Code Detail

MEDICARE: MR. BENJAMIN BREUER MSW

MEDICARE: MR. BENJAMIN BREUER 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
1101YS0200XSchool Counselor075647-1NY
21041C0700XClinical Social Worker081344NY

General Provider Information

NPI Number : 1306157227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BENJAMIN BREUER MSW
Provider Business Mailing Address
First Line : 1175 E 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4701
Country : US
Telephone Number : 718-252-2971
Fax Number :
Provider Business Practice Location Address
First Line : 1268 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5241
Country : US
Telephone Number : 718-252-2971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 04/25/2023

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