MEDICARE: MRS. JOANNE CUNEO 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
1	104100000X	Social Worker	064363-1	NY

General Provider Information

NPI Number	:	1831334143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANNE CUNEO LMSW

Provider Business Mailing Address
First Line	:	70 WILLOW ST
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-6315
Country	:	US
Telephone Number	:	516-547-0963
Fax Number	:	516-873-1532

Provider Business Practice Location Address
First Line	:	70 WILLOW ST
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-6315
Country	:	US
Telephone Number	:	516-547-0963
Fax Number	:	516-873-1532

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

Provider Enumeration Date	:	12/16/2008
Last Update Date	:	12/16/2008

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