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NPI Code Detail

MEDICARE: MS. LILI NICOLE GLAUBER LMSW

MEDICARE:  MS. LILI NICOLE GLAUBER  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 Worker079755-1NY

General Provider Information

NPI Number : 1124343207
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LILI NICOLE GLAUBER LMSW
Provider Business Mailing Address
First Line : 2128 ROCKAWAY PARKWAY
Second Line : INSTITUTE FOR COMMUNITY LIVING, INC.
City : BROOKLYN
State : NY
Zip : 11236
Country : US
Telephone Number : 510-418-4556
Fax Number :
Provider Business Practice Location Address
First Line : 2128 ROCKAWAY PARKWAY
Second Line : INSTITUTE FOR COMMUNITY LIVING, INC.
City : BROOKLYN
State : NY
Zip : 11236
Country : US
Telephone Number : 510-418-4556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 04/01/2010

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Directions to “ MS. LILI NICOLE GLAUBER LMSW” Practice Location

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