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NPI Code Detail

MEDICARE: MR. DANIEL CHAVEZ LMSW

MEDICARE: MR. DANIEL CHAVEZ 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 Worker085499NY

General Provider Information

NPI Number : 1508123449
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL CHAVEZ LMSW
Provider Business Mailing Address
First Line : 920 48TH STREET
Second Line : MAIMONIDES DEPARTMENT OF PSYCHIATRY
City : BROOKLYN
State : NY
Zip : 11219
Country : US
Telephone Number : 718-283-8189
Fax Number : 718-283-6161
Provider Business Practice Location Address
First Line : 920 48TH ST
Second Line : MAIMONIDES DEPARTMENT OF PSYCHIATRY
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 : 04/17/2012
Last Update Date : 04/17/2012

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