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NPI Code Detail

MEDICARE: MS. GIZELLA ESTHER ENGEL LCSW

MEDICARE: MS. GIZELLA ESTHER ENGEL 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 Worker016458-1NY

General Provider Information

NPI Number : 1649444043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GIZELLA ESTHER ENGEL LCSW
Provider Business Mailing Address
First Line : 145 4TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10003-4906
Country : US
Telephone Number : 212-673-8656
Fax Number :
Provider Business Practice Location Address
First Line : 810 CLASSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-6102
Country : US
Telephone Number : 718-230-5100
Fax Number : 718-230-5425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2008
Last Update Date : 04/16/2008

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