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NPI Code Detail

MEDICARE: MS. NADINE ALTHEA BROWN

MEDICARE:  MS. NADINE ALTHEA BROWN
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 WorkerR053759-1NY

General Provider Information

NPI Number : 1326255100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NADINE ALTHEA BROWN
Provider Business Mailing Address
First Line : 2717 YATES AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-5330
Country : US
Telephone Number : 718-652-2405
Fax Number : 718-652-2405
Provider Business Practice Location Address
First Line : 2717 YATES AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-5330
Country : US
Telephone Number : 718-652-2405
Fax Number : 718-652-2405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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