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NPI Code Detail

MEDICARE: MARIA ROMER LCSW

MEDICARE: MARIA ROMER LCSW
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 Worker058938-1NY

General Provider Information

NPI Number : 1497812218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ROMER LCSW
Provider Business Mailing Address
First Line : 6905 61ST RD
Second Line :
City : MIDDLE VILLAGE
State : NY
Zip : 11379-1117
Country : US
Telephone Number : 718-526-8400
Fax Number :
Provider Business Practice Location Address
First Line : 14732 JAMAICA AVE
Second Line :
City : JAMAICA
State : NY
Zip : 11435-4042
Country : US
Telephone Number : 718-526-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 04/23/2008

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