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NPI Code Detail

MEDICARE: MS. MALIKA FOREMAN LMSW

MEDICARE:  MS. MALIKA  FOREMAN  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
1104100000XSocial Worker72075216NY

General Provider Information

NPI Number : 1043599335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MALIKA FOREMAN LMSW
Provider Business Mailing Address
First Line : 1623 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3262
Country : US
Telephone Number : 718-377-5755
Fax Number :
Provider Business Practice Location Address
First Line : 1623 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3262
Country : US
Telephone Number : 718-377-5755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 07/17/2024

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Directions to “ MS. MALIKA FOREMAN LMSW” Practice Location

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