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NPI Code Detail

MEDICARE: BARBARA A. SKORNIA LCSW-R

MEDICARE: BARBARA A. SKORNIA 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 Worker073925-RNY

General Provider Information

NPI Number : 1790953131
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA A. SKORNIA LCSW-R
Provider Business Mailing Address
First Line : 2290 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-2518
Country : US
Telephone Number : 585-721-9156
Fax Number :
Provider Business Practice Location Address
First Line : 2290 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-2518
Country : US
Telephone Number : 585-721-9156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2008
Last Update Date : 03/04/2008

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