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NPI Code Detail

MEDICARE: TZILA CHANA SEEWALD-RUSSELL LMSW

MEDICARE: TZILA CHANA SEEWALD-RUSSELL 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1710492335
Entity Type Code : Individual
Provider Name (Legal Business Name) : TZILA CHANA SEEWALD-RUSSELL LMSW
Provider Business Mailing Address
First Line : 1578 E 29TH ST # 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1898
Country : US
Telephone Number : 718-686-3400
Fax Number : 718-686-4554
Provider Business Practice Location Address
First Line : 6023 FORT HAMILTON PKWY # 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4814
Country : US
Telephone Number : 718-686-3400
Fax Number : 718-686-4554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2017
Last Update Date : 12/05/2017

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Directions to “ TZILA CHANA SEEWALD-RUSSELL LMSW” Practice Location

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