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NPI Code Detail

MEDICARE: YITZCHOK Y BURGER

MEDICARE: YITZCHOK Y BURGER
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
11041S0200XSchool Social Worker

General Provider Information

NPI Number : 1013503341
Entity Type Code : Individual
Provider Name (Legal Business Name) : YITZCHOK Y BURGER
Provider Business Mailing Address
First Line : 926 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-3913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 926 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-3913
Country : US
Telephone Number : 718-875-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2020
Last Update Date : 12/21/2020

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Directions to “ YITZCHOK Y BURGER ” Practice Location

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