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NPI Code Detail

MEDICARE: CANDACE MARIE SEAMAN LMSW

MEDICARE: CANDACE MARIE SEAMAN 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 Worker084408-1NY

General Provider Information

NPI Number : 1467881912
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE MARIE SEAMAN LMSW
Provider Business Mailing Address
First Line : 27 BOWER CT
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-1634
Country : US
Telephone Number : 917-751-8047
Fax Number :
Provider Business Practice Location Address
First Line : 19 VEDDER AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1509
Country : US
Telephone Number : 718-370-2975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 11/05/2013

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