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NPI Code Detail

MEDICARE: MS. AME BORA LCSW

MEDICARE:  MS. AME  BORA  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 Worker

General Provider Information

NPI Number : 1336782895
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AME BORA LCSW
Provider Business Mailing Address
First Line : 367 SAINT MARKS AVE # 1165
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-2268
Country : US
Telephone Number : 347-688-7218
Fax Number :
Provider Business Practice Location Address
First Line : 367 SAINT MARKS AVE # 1165
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-2268
Country : US
Telephone Number : 347-688-7218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2019
Last Update Date : 10/20/2024

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