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NPI Code Detail

MEDICARE: MS. SANDRA K CUMMINGS LCSW

MEDICARE: MS. SANDRA K CUMMINGS 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
1101YM0800XMental Health Counselor0669561NY

General Provider Information

NPI Number : 1306983390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA K CUMMINGS LCSW
Provider Business Mailing Address
First Line : 1772 E 92ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5408
Country : US
Telephone Number : 718-763-1997
Fax Number :
Provider Business Practice Location Address
First Line : 11515 SUTPHIN BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11434-1020
Country : US
Telephone Number : 718-659-4000
Fax Number : 718-659-1405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 02/14/2008

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