MEDICARE: SENDY JOSEPH MSW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1417234956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SENDY JOSEPH MSW

Provider Business Mailing Address
First Line	:	2233 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3045
Country	:	US
Telephone Number	:	718-859-1260
Fax Number	:

Provider Business Practice Location Address
First Line	:	2233 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3045
Country	:	US
Telephone Number	:	718-859-1260
Fax Number	:

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

Provider Enumeration Date	:	11/11/2011
Last Update Date	:	10/15/2012

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