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Physician Compare National (NPI:1184933194)

HEALTHCARE PROVIDER: JASMINE TRANGUCCI LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1184933194
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5193083988
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20171228000844
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TRANGUCCI
Individual professional last name
Provider First Name JASMINE
Individual professional first name
Provider Middle Name LCSWR
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2005
Individual professional's medical school graduation year
Primary Specialty CLINICAL SOCIAL WORKER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 26 COURT ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 2208
Group Practice or individual's line 2 address
City BROOKLYN
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 112421122
Group Practice or individual's zip code (9 digits when available)
Phone Number 9175824483
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment M

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