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NPI Code Detail

MEDICARE: SHARON MARIANETTI LCAT

MEDICARE: SHARON MARIANETTI LCAT
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
1101YM0800XMental Health Counselor001557NY

General Provider Information

NPI Number : 1528327400
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON MARIANETTI LCAT
Provider Business Mailing Address
First Line : 230 KINGSLAND AVE
Second Line : APT. 2R
City : BROOKLYN
State : NY
Zip : 11222-4393
Country : US
Telephone Number : 347-853-6000
Fax Number :
Provider Business Practice Location Address
First Line : 102 PILLING ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-1610
Country : US
Telephone Number : 718-602-1000
Fax Number : 718-602-1111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2012
Last Update Date : 05/11/2012

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Directions to “ SHARON MARIANETTI LCAT” Practice Location

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