MEDICARE: MS. ALICE CAROL GARFINKEL 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
1	1041C0700X	Clinical Social Worker	R22633-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0092893	OTHER	NY	GHI PROVIDER#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	024308	OTHER	NY	VMC PROVIDER#
4	P1660545	OTHER	NY	OXFORD PROVIDER #
5	108701	OTHER	NY	MHN PROVIDER#
6	120205	OTHER	NY	COMPSYCH PROVIDER #
7	5479230	OTHER	NY	AETNA PROVIDER#
8	6260548	OTHER	NY	UBH PROVIDER#
9	AG0N561420	OTHER	NY	BLUE CROSS BLUE SHIELD PR
10	PVPB127718	OTHER	NY	APS PROVIDER#
11	113205	OTHER	NY	VBH PROVIDER#
12	R022633	OTHER	NY	HIP PROVIDER#

General Provider Information

NPI Number	:	1649258104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICE CAROL GARFINKEL LCSW

Provider Business Mailing Address
First Line	:	13-38 ROBIN LANE
Second Line	:	BAYBRIDGE CONDOS UNIT # 71L(1FL)
City	:	BAYSIDE
State	:	NY
Zip	:	11360-1138
Country	:	US
Telephone Number	:	718-352-0038
Fax Number	:	718-352-0038

Provider Business Practice Location Address
First Line	:	853 BROADWAY
Second Line	:	STE 1501
City	:	NEW YORK
State	:	NY
Zip	:	10003-4703
Country	:	US
Telephone Number	:	917-424-3545
Fax Number	:	718-352-0038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/09/2007

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