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NPI Code Detail

MEDICARE: EDWIN LORD LMSW

MEDICARE:   EDWIN  LORD  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
11041C0700XClinical Social Worker013572-1NY

General Provider Information

NPI Number : 1437239597
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWIN LORD LMSW
Provider Business Mailing Address
First Line : 400 LIBERTY AVE
Second Line : 2 FLOOR
City : BROOKLYN
State : NY
Zip : 11207-3032
Country : US
Telephone Number : 917-893-9900
Fax Number : 917-893-9901
Provider Business Practice Location Address
First Line : 400 LIBERTY AVE
Second Line : 2 FLOOR
City : BROOKLYN
State : NY
Zip : 11207-3032
Country : US
Telephone Number : 917-893-9900
Fax Number : 917-893-9901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 10/13/2015

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Directions to “ EDWIN LORD LMSW” Practice Location

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