MEDICARE: LYNNE ALTERMAN 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
1	1041C0700X	Clinical Social Worker	R038059	NY

General Provider Information

NPI Number	:	1437119344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE ALTERMAN LCSW

Provider Business Mailing Address
First Line	:	205 W END AVE APT 6E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-4807
Country	:	US
Telephone Number	:	347-204-8596
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 W END AVE APT 6E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-4807
Country	:	US
Telephone Number	:	347-204-8596
Fax Number	:

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	12/08/2010

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Directions to “ LYNNE ALTERMAN LCSW” Practice Location

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