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NPI Code Detail

MEDICARE: MS. AVARILLA A. AKERS LCSW-R

MEDICARE: MS. AVARILLA A. AKERS LCSW-R
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 WorkerN31751NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N31751OTHERNYSW LICENSE

General Provider Information

NPI Number : 1134111024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AVARILLA A. AKERS LCSW-R
Provider Business Mailing Address
First Line : 29 N HAMILTON ST
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-2541
Country : US
Telephone Number : 845-452-1110
Fax Number : 845-452-1119
Provider Business Practice Location Address
First Line : 2 REIMER AVE
Second Line :
City : DOVER PLAINS
State : NY
Zip : 12522-5136
Country : US
Telephone Number : 845-877-4100
Fax Number : 845-877-4112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

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