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NPI Code Detail

MEDICARE: MRS. ELINA KESLER-SERRANO LMSW

MEDICARE: MRS. ELINA KESLER-SERRANO 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 Worker065053-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013000330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELINA KESLER-SERRANO LMSW
Provider Business Mailing Address
First Line : 2435 OCEAN AVE
Second Line : APT. 3B
City : BROOKLYN
State : NY
Zip : 11229-3544
Country : US
Telephone Number : 718-648-9479
Fax Number :
Provider Business Practice Location Address
First Line : 2020 CONEY ISLAND AVE
Second Line : FIRST FLOOR
City : BROOKLYN
State : NY
Zip : 11223-2329
Country : US
Telephone Number : 718-676-4248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 07/08/2007

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