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NPI Code Detail

MEDICARE: MS. STELLA JOAN PADNOS LMSW

MEDICARE: MS. STELLA JOAN PADNOS 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 Worker080051NY

General Provider Information

NPI Number : 1497066021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STELLA JOAN PADNOS LMSW
Provider Business Mailing Address
First Line : 1285 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-2330
Country : US
Telephone Number : 718-257-3195
Fax Number : 718-257-1162
Provider Business Practice Location Address
First Line : 1285 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-2330
Country : US
Telephone Number : 718-257-3195
Fax Number : 718-257-1162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2010
Last Update Date : 06/29/2010

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