MEDICARE: CESAR JULIO FERREYRA MS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1740363506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CESAR JULIO FERREYRA MS

Provider Business Mailing Address
First Line	:	616 CORA PLACE 1ST FLOOR
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-3726
Country	:	US
Telephone Number	:	732-877-7372
Fax Number	:

Provider Business Practice Location Address
First Line	:	1090 ST NICHOLAS 165 ST
Second Line	:
City	:	NEW YORK CITY
State	:	NY
Zip	:	10032
Country	:	US
Telephone Number	:	212-543-0777
Fax Number	:

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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