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NPI Code Detail

MEDICARE: MRS. LILLIAN ELMIRS LMSW

MEDICARE: MRS. LILLIAN ELMIRS 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 Worker061081-1NY

General Provider Information

NPI Number : 1487864278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LILLIAN ELMIRS LMSW
Provider Business Mailing Address
First Line : 259 2ND ST # A
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-2827
Country : US
Telephone Number : 201-798-7174
Fax Number :
Provider Business Practice Location Address
First Line : 920 48TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2918
Country : US
Telephone Number : 718-283-8189
Fax Number : 718-283-6161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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