MEDICARE: MRS. CORINNA HEINZ ARRIOLA RIOS 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
1	1041C0700X	Clinical Social Worker	092690	NY

General Provider Information

NPI Number	:	1194283481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CORINNA HEINZ ARRIOLA RIOS LCSW

Provider Business Mailing Address
First Line	:	729B 43RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-3914
Country	:	US
Telephone Number	:	607-220-6299
Fax Number	:

Provider Business Practice Location Address
First Line	:	729B 43RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-3914
Country	:	US
Telephone Number	:	607-220-6299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	01/20/2023

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