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NPI Code Detail

MEDICARE: MARVA PITT

MEDICARE:   MARVA  PITT
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
1252Y00000XEarly Intervention Provider AgencyNY

General Provider Information

NPI Number : 1437396629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARVA PITT
Provider Business Mailing Address
First Line : 1401 ALBANY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-6504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 ALBANY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-6504
Country : US
Telephone Number : 718-469-0204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2009
Last Update Date : 01/09/2009

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Directions to “ MARVA PITT ” Practice Location

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