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NPI Code Detail

MEDICARE: ELEONORA GOLTSMAN LMSW

MEDICARE:   ELEONORA  GOLTSMAN  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 Worker070365-1NY

General Provider Information

NPI Number : 1487613303
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEONORA GOLTSMAN LMSW
Provider Business Mailing Address
First Line : 900 LYDIG AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-2124
Country : US
Telephone Number : 718-792-1336
Fax Number :
Provider Business Practice Location Address
First Line : 900 LYDIG AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-2149
Country : US
Telephone Number : 718-792-1336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 07/08/2007

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Directions to “ ELEONORA GOLTSMAN LMSW” Practice Location

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