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NPI Code Detail

MEDICARE: MS. REBECCA HANA MILBURN L.C.S.W.

MEDICARE: MS. REBECCA HANA MILBURN L.C.S.W.
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 Worker077701NY

General Provider Information

NPI Number : 1306978093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA HANA MILBURN L.C.S.W.
Provider Business Mailing Address
First Line : 6201 16TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2702
Country : US
Telephone Number : 718-256-8600
Fax Number : 718-232-9325
Provider Business Practice Location Address
First Line : 6201 16TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2702
Country : US
Telephone Number : 718-256-8600
Fax Number : 718-232-9325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 10/05/2010

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