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NPI Code Detail

MEDICARE: MS. MARGARET DUNNE BLACK LCSW

MEDICARE: MS. MARGARET DUNNE BLACK 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 WorkerR0362731NY

General Provider Information

NPI Number : 1407177223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARGARET DUNNE BLACK LCSW
Provider Business Mailing Address
First Line : 2335 GERRITSEN AVE
Second Line : 2L
City : BROOKLYN
State : NY
Zip : 11229-5701
Country : US
Telephone Number : 718-783-4059
Fax Number :
Provider Business Practice Location Address
First Line : 2335 GERRITSEN AVE
Second Line : 2L
City : BROOKLYN
State : NY
Zip : 11229-5701
Country : US
Telephone Number : 718-783-4059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2010
Last Update Date : 07/19/2010

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