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NPI Code Detail

MEDICARE: CAROLE HOFSTEIN HOFSTEIN-AMSELEM

MEDICARE:   CAROLE HOFSTEIN HOFSTEIN-AMSELEM
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 Counselor011755NY

General Provider Information

NPI Number : 1013651967
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE HOFSTEIN HOFSTEIN-AMSELEM
Provider Business Mailing Address
First Line : 248 BROOME ST APT 22
Second Line :
City : NEW YORK
State : NY
Zip : 10002-3824
Country : US
Telephone Number : 929-320-8401
Fax Number :
Provider Business Practice Location Address
First Line : 32 PEBBLE LN
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2712
Country : US
Telephone Number : 929-320-8398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 04/26/2022

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Directions to “ CAROLE HOFSTEIN HOFSTEIN-AMSELEM ” Practice Location

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