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NPI Code Detail

MEDICARE: MAUREEN DEEN-BAKSH LCSW

MEDICARE: MAUREEN DEEN-BAKSH 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
11041C0700XClinical Social Worker076956NY

General Provider Information

NPI Number : 1306177571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN DEEN-BAKSH LCSW
Provider Business Mailing Address
First Line : 2857 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-5126
Country : US
Telephone Number : 718-235-3100
Fax Number :
Provider Business Practice Location Address
First Line : 2857 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-5126
Country : US
Telephone Number : 718-235-3100
Fax Number : 718-277-0822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2010
Last Update Date : 08/19/2014

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Directions to “ MAUREEN DEEN-BAKSH LCSW” Practice Location

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