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NPI Code Detail

MEDICARE: ELVIRA M CASPER

MEDICARE:   ELVIRA M CASPER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1396379459
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVIRA M CASPER
Provider Business Mailing Address
First Line : 4821 40TH ST APT 1D
Second Line :
City : SUNNYSIDE
State : NY
Zip : 11104-4111
Country : US
Telephone Number : 347-740-8565
Fax Number :
Provider Business Practice Location Address
First Line : 192 THROOP AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5334
Country : US
Telephone Number : 929-210-9333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2020
Last Update Date : 02/27/2020

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Directions to “ ELVIRA M CASPER ” Practice Location

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