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NPI Code Detail

MEDICARE: SARAH KATHRYN HELLER LMSW

MEDICARE: SARAH KATHRYN HELLER 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
11041C0700XClinical Social Worker065280-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568551620
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH KATHRYN HELLER LMSW
Provider Business Mailing Address
First Line : 274 MOTT ST
Second Line : APT 5B
City : NEW YORK
State : NY
Zip : 10012-3414
Country : US
Telephone Number : 646-942-6425
Fax Number :
Provider Business Practice Location Address
First Line : 274 MOTT ST
Second Line : APT 5B
City : NEW YORK
State : NY
Zip : 10012-3414
Country : US
Telephone Number : 646-942-6425
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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