MEDICARE: MS. ONA ASHMON 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	072044-1	NY

General Provider Information

NPI Number	:	1326012857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ONA ASHMON LCSW

Provider Business Mailing Address
First Line	:	2017 70TH ST
Second Line	:	APT. 2F
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5405
Country	:	US
Telephone Number	:	191-751-5929
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 70TH ST.
Second Line	:	APT. 2F
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5405
Country	:	US
Telephone Number	:	917-517-9296
Fax Number	:

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	07/08/2007

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