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NPI Code Detail

MEDICARE: OVADIA TREPP LMSW

MEDICARE:   OVADIA  TREPP  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 Worker073426NY

General Provider Information

NPI Number : 1548359615
Entity Type Code : Individual
Provider Name (Legal Business Name) : OVADIA TREPP LMSW
Provider Business Mailing Address
First Line : 28 CARLTON RD
Second Line :
City : MONSEY
State : NY
Zip : 10952-2521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1273 53RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-3820
Country : US
Telephone Number : 718-435-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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Directions to “ OVADIA TREPP LMSW” Practice Location

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