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NPI Code Detail

MEDICARE: ESTHER PRIEGUE L.C.S.W.

MEDICARE: ESTHER PRIEGUE L.C.S.W.
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 Worker071793NY

General Provider Information

NPI Number : 1447292594
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER PRIEGUE L.C.S.W.
Provider Business Mailing Address
First Line : 2928 41ST AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-3310
Country : US
Telephone Number : 718-786-5000
Fax Number : 718-349-9100
Provider Business Practice Location Address
First Line : 14732 JAMAICA AVE
Second Line :
City : JAMAICA
State : NY
Zip : 11435-4042
Country : US
Telephone Number : 718-786-5000
Fax Number : 718-349-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/09/2018

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