MEDICARE: MS. ADRIANA PASCUA DINARDO MSW

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	PR022474-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P2718252	OTHER	NY	OXFORD
2	199706	OTHER	NY	VALUE OPTIONS PIN
3	269191	OTHER	NY	MHN PIN
4	7402405	OTHER	NY	GHI

General Provider Information

NPI Number	:	1437240108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ADRIANA PASCUA DINARDO MSW

Provider Business Mailing Address
First Line	:	400A 17TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-6105
Country	:	US
Telephone Number	:	718-633-0700
Fax Number	:	718-633-0700

Provider Business Practice Location Address
First Line	:	135 OCEAN PKWY APT 1F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2579
Country	:	US
Telephone Number	:	718-633-0700
Fax Number	:	347-663-7389

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	10/03/2014

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