MEDICARE: MS. MARIE CONCETTA SALIMBENI 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	R044906-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265558563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE CONCETTA SALIMBENI LCSW

Provider Business Mailing Address
First Line	:	6602 111TH ST REET
Second Line	:	APT. 3B
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1964
Country	:	US
Telephone Number	:	718-459-7311
Fax Number	:	718-569-2911

Provider Business Practice Location Address
First Line	:	6602 111TH ST REET
Second Line	:	APT. 3B
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1964
Country	:	US
Telephone Number	:	718-459-7311
Fax Number	:	718-569-2911

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

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	07/08/2007

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