MEDICARE: CAROLINE CLAUDIA CZARNECKI

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1366219032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE CLAUDIA CZARNECKI

Provider Business Mailing Address
First Line	:	8610 34TH AVENUE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	11372
Country	:	US
Telephone Number	:	347-303-4495
Fax Number	:

Provider Business Practice Location Address
First Line	:	8610 34TH AVENUE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	11372
Country	:	US
Telephone Number	:	347-303-4495
Fax Number	:

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

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	12/04/2023

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Directions to “ CAROLINE CLAUDIA CZARNECKI ” Practice Location

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