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NPI Code Detail

MEDICARE: MR. DOVBER COHEN SOCIAL WORKER

MEDICARE: MR. DOVBER COHEN SOCIAL WORKER
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1366196628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DOVBER COHEN SOCIAL WORKER
Provider Business Mailing Address
First Line : 1398 CARROLL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-4404
Country : US
Telephone Number : 718-208-4780
Fax Number :
Provider Business Practice Location Address
First Line : 1398 CARROLL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-4404
Country : US
Telephone Number : 718-208-4780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2022
Last Update Date : 02/07/2022

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