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NPI Code Detail

MEDICARE: EDWARD F FIERAMOSCA LMSW

MEDICARE: EDWARD F FIERAMOSCA 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 Worker074131NY

General Provider Information

NPI Number : 1215263801
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD F FIERAMOSCA LMSW
Provider Business Mailing Address
First Line : 1 EDGEWATER ST
Second Line : 6TH FLOOR
City : STATEN ISLAND
State : NY
Zip : 10305-4900
Country : US
Telephone Number : 718-223-1008
Fax Number : 718-226-1039
Provider Business Practice Location Address
First Line : 392 SEGUINE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3906
Country : US
Telephone Number : 718-226-2274
Fax Number : 718-226-2658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2009
Last Update Date : 11/02/2009

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Directions to “ EDWARD F FIERAMOSCA LMSW” Practice Location

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