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NPI Code Detail

MEDICARE: ANNA STOCK-MATTHEWS

MEDICARE: ANNA STOCK-MATTHEWS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1255114658
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA STOCK-MATTHEWS
Provider Business Mailing Address
First Line : 1310 DEAN ST APT 4
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-3475
Country : US
Telephone Number : 510-502-9804
Fax Number :
Provider Business Practice Location Address
First Line : 299 BROADWAY STE 905
Second Line :
City : NEW YORK
State : NY
Zip : 10007-1960
Country : US
Telephone Number : 917-873-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ ANNA STOCK-MATTHEWS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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