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NPI Code Detail

MEDICARE: JANET-MICHELLE MAE CUEVAS LCSW

MEDICARE: JANET-MICHELLE MAE CUEVAS LCSW
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 Worker083410NY
21041C0700XClinical Social Worker083344-1NY

General Provider Information

NPI Number : 1366740789
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET-MICHELLE MAE CUEVAS LCSW
Provider Business Mailing Address
First Line : 264 WOODLANDS DR
Second Line :
City : TUXEDO PARK
State : NY
Zip : 10987-4818
Country : US
Telephone Number : 917-744-0607
Fax Number : 914-467-7801
Provider Business Practice Location Address
First Line : 520 WHITE PLAINS ROAD
Second Line : SUITE 500 (FIFTH FLOOR)
City : TARRYTOWN
State : NY
Zip : 10591-5118
Country : US
Telephone Number : 917-744-0607
Fax Number : 914-467-7801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2011
Last Update Date : 09/06/2019

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Directions to “ JANET-MICHELLE MAE CUEVAS LCSW” Practice Location

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