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NPI Code Detail

MEDICARE: MR. KEITH LINTON LMSW

MEDICARE: MR. KEITH LINTON 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
11041C0700XClinical Social Worker071025NY

General Provider Information

NPI Number : 1811034663
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEITH LINTON LMSW
Provider Business Mailing Address
First Line : 1272 E 91ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4256
Country : US
Telephone Number : 718-251-5825
Fax Number :
Provider Business Practice Location Address
First Line : 11515 SUTPHIN BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11434-1020
Country : US
Telephone Number : 718-659-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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Directions to “ MR. KEITH LINTON LMSW” Practice Location

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