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NPI Code Detail

MEDICARE: AIESHA LANG MSW

MEDICARE: AIESHA LANG MSW
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 Worker

General Provider Information

NPI Number : 1336229053
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIESHA LANG MSW
Provider Business Mailing Address
First Line : 2527 GLEBE AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-3109
Country : US
Telephone Number : 718-904-4400
Fax Number : 718-931-7307
Provider Business Practice Location Address
First Line : 2527 GLEBE AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-3109
Country : US
Telephone Number : 718-904-4400
Fax Number : 718-931-7307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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Directions to “ AIESHA LANG MSW” Practice Location

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