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NPI Code Detail

MEDICARE: BRUCE ELLIOT PARNESS LCSW-R

MEDICARE: BRUCE ELLIOT PARNESS LCSW-R
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 Worker036041RNY

General Provider Information

NPI Number : 1780218362
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE ELLIOT PARNESS LCSW-R
Provider Business Mailing Address
First Line : 1623 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1209
Country : US
Telephone Number : 718-954-3800
Fax Number :
Provider Business Practice Location Address
First Line : 921 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1393
Country : US
Telephone Number : 718-778-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2020
Last Update Date : 02/23/2020

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Directions to “ BRUCE ELLIOT PARNESS LCSW-R” Practice Location

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