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NPI Code Detail

MEDICARE: MS. ELIZABETH H WINSLOW LCSW

MEDICARE:  MS. ELIZABETH H WINSLOW  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 WorkerR0581801NY

General Provider Information

NPI Number : 1619945565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH H WINSLOW LCSW
Provider Business Mailing Address
First Line : PAHC 1075 STEPHENSON AVE
Second Line : ATTN CREDENTIALS OFFICE
City : FORT MONMOUTH
State : NJ
Zip : 07703-5000
Country : US
Telephone Number : 732-532-0182
Fax Number : 732-532-0194
Provider Business Practice Location Address
First Line : 114 WHITE AVE
Second Line : BLDG 114
City : BROOKLYN
State : NY
Zip : 11252
Country : US
Telephone Number : 718-630-4242
Fax Number : 718-630-4337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 07/08/2007

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Directions to “ MS. ELIZABETH H WINSLOW LCSW” Practice Location

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