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NPI Code Detail

MEDICARE: YOSEF MENDEL HEINTZ

MEDICARE: YOSEF MENDEL HEINTZ
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 : 1356057574
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOSEF MENDEL HEINTZ
Provider Business Mailing Address
First Line : 454 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-4302
Country : US
Telephone Number : 570-481-1754
Fax Number :
Provider Business Practice Location Address
First Line : 1268 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5241
Country : US
Telephone Number : 718-686-3175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2023
Last Update Date : 12/11/2025

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