MEDICARE: BATYA ZAMIR-VANBUREN 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	LC7171	ME

General Provider Information

NPI Number	:	1285788539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BATYA ZAMIR-VANBUREN LCSW

Provider Business Mailing Address
First Line	:	PO BOX 99
Second Line	:
City	:	PERRY
State	:	ME
Zip	:	04667-0099
Country	:	US
Telephone Number	:	207-454-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 GLEASON COVE ROAD
Second Line	:
City	:	PERRY
State	:	ME
Zip	:	04667
Country	:	US
Telephone Number	:	207-454-8787
Fax Number	:

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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