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NPI Code Detail

MEDICARE: MS. VIOLA GITTENS LCSW

MEDICARE: MS. VIOLA GITTENS 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 Worker055724NY

General Provider Information

NPI Number : 1427297027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VIOLA GITTENS LCSW
Provider Business Mailing Address
First Line : 1265 FRANKLIN AVE
Second Line : 3RD FLOOR
City : BRONX
State : NY
Zip : 10456
Country : US
Telephone Number : 718-379-0064
Fax Number :
Provider Business Practice Location Address
First Line : 1265 FRANKLIN AVE
Second Line : 3RD FLOOR
City : BRONX
State : NY
Zip : 10456-3501
Country : US
Telephone Number : 718-503-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2009
Last Update Date : 02/05/2009

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