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NPI Code Detail

MEDICARE: NECHAMA GOLDBERGER LMSW

MEDICARE: NECHAMA GOLDBERGER 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 Worker10434-1NY

General Provider Information

NPI Number : 1497224109
Entity Type Code : Individual
Provider Name (Legal Business Name) : NECHAMA GOLDBERGER LMSW
Provider Business Mailing Address
First Line : 293 DIVISION AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-7573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 HAMASPIK WAY
Second Line :
City : MONROE
State : NY
Zip : 10950-8451
Country : US
Telephone Number : 845-655-0602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2018
Last Update Date : 11/26/2018

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Directions to “ NECHAMA GOLDBERGER LMSW” Practice Location

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