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NPI Code Detail

MEDICARE: RICHARD ANTHONY ROSSI LMSW

MEDICARE: RICHARD ANTHONY ROSSI 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 Worker058406NY

General Provider Information

NPI Number : 1649648551
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ANTHONY ROSSI LMSW
Provider Business Mailing Address
First Line : 71 W 23RD ST
Second Line : 8TH FLOOR
City : NEW YORK
State : NY
Zip : 10010-4102
Country : US
Telephone Number : 718-681-8700
Fax Number : 212-206-0969
Provider Business Practice Location Address
First Line : 2400 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-4830
Country : US
Telephone Number : 588-681-8700
Fax Number : 718-649-7040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2015
Last Update Date : 09/09/2015

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