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NPI Code Detail

MEDICARE: ELIZABETH RACHEL CARMEN MA, ED.M

MEDICARE:   ELIZABETH RACHEL CARMEN  MA, ED.M
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1912307075
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH RACHEL CARMEN MA, ED.M
Provider Business Mailing Address
First Line : 14738 71ST AVE
Second Line :
City : FLUSHING
State : NY
Zip : 11367-2009
Country : US
Telephone Number : 773-414-4286
Fax Number :
Provider Business Practice Location Address
First Line : 14738 71ST AVE
Second Line :
City : FLUSHING
State : NY
Zip : 11367-2009
Country : US
Telephone Number : 773-414-4286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 08/26/2014

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Directions to “ ELIZABETH RACHEL CARMEN MA, ED.M” Practice Location

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