MEDICARE: MR. RICARDO ARMANDO GUZMAN 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
1	1041C0700X	Clinical Social Worker	094143-01	NY

General Provider Information

NPI Number	:	1316337157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICARDO ARMANDO GUZMAN L.C.S.W.

Provider Business Mailing Address
First Line	:	414 78TH ST # 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3404
Country	:	US
Telephone Number	:	347-558-2259
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 78TH ST # 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3404
Country	:	US
Telephone Number	:	347-558-2259
Fax Number	:

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

Provider Enumeration Date	:	02/02/2015
Last Update Date	:	12/20/2022

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