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NPI Code Detail

MEDICARE: MR. FREDERICK THOMAS TOWNSEND JR. LMSW

MEDICARE: MR. FREDERICK THOMAS TOWNSEND JR. LMSW
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
1283Q00000XPsychiatric Hospital72070561NY

General Provider Information

NPI Number : 1427117977
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FREDERICK THOMAS TOWNSEND JR. LMSW
Provider Business Mailing Address
First Line : 45 E 40TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2101
Country : US
Telephone Number : 718-771-1492
Fax Number :
Provider Business Practice Location Address
First Line : 1819 BERGEN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-4513
Country : US
Telephone Number : 718-221-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/08/2007

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