MEDICARE: NAIROBIS CUEVAS

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1750932042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAIROBIS CUEVAS

Provider Business Mailing Address
First Line	:	307 W 38TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-2913
Country	:	US
Telephone Number	:	212-695-4564
Fax Number	:	845-735-3594

Provider Business Practice Location Address
First Line	:	4031 PARK AVE BRONX NY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10457-2913
Country	:	US
Telephone Number	:	347-705-2198
Fax Number	:

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

Provider Enumeration Date	:	09/27/2019
Last Update Date	:	09/28/2021

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Directions to “ NAIROBIS CUEVAS ” Practice Location

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