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NPI Code Detail

MEDICARE: ILIANA ABAD LMSW

MEDICARE: ILIANA ABAD 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
1104100000XSocial Worker085365NY

General Provider Information

NPI Number : 1427328194
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILIANA ABAD LMSW
Provider Business Mailing Address
First Line : 190 31ST ST
Second Line : 1ST FLOOR
City : BROOKLYN
State : NY
Zip : 11232-1803
Country : US
Telephone Number : 714-585-8828
Fax Number :
Provider Business Practice Location Address
First Line : 102 PILLING ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-1610
Country : US
Telephone Number : 718-602-1000
Fax Number : 718-602-1111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2012
Last Update Date : 01/11/2012

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Directions to “ ILIANA ABAD LMSW” Practice Location

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