MEDICARE: JENNIFER HAHN MURAYAMA L.C.S.W.

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	0778781	NY
2	104100000X	Social Worker	0778781	NY

General Provider Information

NPI Number	:	1699000711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HAHN MURAYAMA L.C.S.W.

Provider Business Mailing Address
First Line	:	936 BROADWAY FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-8104
Country	:	US
Telephone Number	:	212-879-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	936 BROADWAY FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-8104
Country	:	US
Telephone Number	:	212-879-4900
Fax Number	:

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

Provider Enumeration Date	:	10/07/2009
Last Update Date	:	02/03/2020

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Directions to “ JENNIFER HAHN MURAYAMA L.C.S.W.” Practice Location

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