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NPI Code Detail

MEDICARE: SUZANNE MARIE HUBER LCSW

MEDICARE:   SUZANNE MARIE HUBER  LCSW
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 Worker051804NY
21041S0200XSchool Social Worker

General Provider Information

NPI Number : 1114296175
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE MARIE HUBER LCSW
Provider Business Mailing Address
First Line : 15 MAYFAIR AVE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001-2654
Country : US
Telephone Number : 516-314-6153
Fax Number :
Provider Business Practice Location Address
First Line : 27A SHELTER ROCK RD
Second Line :
City : MANHASSET
State : NY
Zip : 11030-3953
Country : US
Telephone Number : 516-267-7475
Fax Number : 516-267-7456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2011
Last Update Date : 12/21/2011

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Directions to “ SUZANNE MARIE HUBER LCSW” Practice Location

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