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NPI Code Detail

MEDICARE: DR. RUTH M. FORERO PH.D.

MEDICARE:  DR. RUTH M. FORERO  PH.D.
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 WorkerR029982-1NY

General Provider Information

NPI Number : 1457361198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUTH M. FORERO PH.D.
Provider Business Mailing Address
First Line : 180 LIVINGSTON ST
Second Line : SAFE HORIZON COUNSELING CENTER 303
City : BROOKLYN
State : NY
Zip : 11201-5861
Country : US
Telephone Number : 347-328-8110
Fax Number : 347-328-8117
Provider Business Practice Location Address
First Line : 180 LIVINGSTON ST
Second Line : SAFE HORIZON COUNSELING CENTER 303
City : BROOKLYN
State : NY
Zip : 11201-5861
Country : US
Telephone Number : 347-328-8110
Fax Number : 347-328-8117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 10/03/2008

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