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NPI Code Detail

MEDICARE: SUSAN FRIEDEL VUJNOVICH LCSW

MEDICARE: SUSAN FRIEDEL VUJNOVICH 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 WorkerR046400-1NY

General Provider Information

NPI Number : 1659323095
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN FRIEDEL VUJNOVICH LCSW
Provider Business Mailing Address
First Line : 1785 215TH ST
Second Line : 7E
City : BAYSIDE
State : NY
Zip : 11360-1727
Country : US
Telephone Number : 171-863-1061
Fax Number :
Provider Business Practice Location Address
First Line : 800 POLY PL
Second Line : 14-304
City : BROOKLYN
State : NY
Zip : 11209-7104
Country : US
Telephone Number : 171-883-6660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 06/21/2026

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