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NPI Code Detail

MEDICARE: CHANA GUREVITCH LMSW

MEDICARE:   CHANA  GUREVITCH  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 Worker44SL06963400NJ

General Provider Information

NPI Number : 1740050814
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANA GUREVITCH LMSW
Provider Business Mailing Address
First Line : 31 SHAYAS RD BSMT
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5564
Country : US
Telephone Number : 848-329-3156
Fax Number :
Provider Business Practice Location Address
First Line : 216 RIVER AVE STE 213
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4807
Country : US
Telephone Number : 848-329-3156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2024
Last Update Date : 01/08/2024

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Directions to “ CHANA GUREVITCH LMSW” Practice Location

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