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NPI Code Detail

MEDICARE: MRS. HOLLY JASKIEWICZ SCHATZ LCSW

MEDICARE: MRS. HOLLY JASKIEWICZ SCHATZ LCSW
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 Worker

General Provider Information

NPI Number : 1619172764
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLY JASKIEWICZ SCHATZ LCSW
Provider Business Mailing Address
First Line : 60 STONER AVE
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-2119
Country : US
Telephone Number : 516-241-3373
Fax Number :
Provider Business Practice Location Address
First Line : 9114 37TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7920
Country : US
Telephone Number : 718-779-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 11/05/2013

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