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NPI Code Detail

MEDICARE: MR. JAY ALEXANDER DESHPANDE LMSW

MEDICARE: MR. JAY ALEXANDER DESHPANDE 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 Worker116489NY

General Provider Information

NPI Number : 1588339824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAY ALEXANDER DESHPANDE LMSW
Provider Business Mailing Address
First Line : 705 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-2909
Country : US
Telephone Number :
Fax Number : 347-630-0519
Provider Business Practice Location Address
First Line : 705 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-2909
Country : US
Telephone Number : 857-314-0489
Fax Number : 347-630-0519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2021
Last Update Date : 12/27/2024

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