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NPI Code Detail

MEDICARE: MR. MATTHEW N HECHT-GIANUTSOS LCSW

MEDICARE: MR. MATTHEW N HECHT-GIANUTSOS LCSW
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 Worker082303NY

General Provider Information

NPI Number : 1902061724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW N HECHT-GIANUTSOS LCSW
Provider Business Mailing Address
First Line : 2412 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-4005
Country : US
Telephone Number : 718-681-8700
Fax Number :
Provider Business Practice Location Address
First Line : 2412 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-4005
Country : US
Telephone Number : 718-681-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2008
Last Update Date : 03/17/2018

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