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NPI Code Detail

MEDICARE: MS. STELLA CHRONIS LCSW-R

MEDICARE: MS. STELLA CHRONIS LCSW-R
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 WorkerR039541-1NY

General Provider Information

NPI Number : 1538278759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STELLA CHRONIS LCSW-R
Provider Business Mailing Address
First Line : 95 PROSPECT ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1617
Country : US
Telephone Number : 315-253-2746
Fax Number : 315-253-1077
Provider Business Practice Location Address
First Line : 146 NORTH ST
Second Line :
City : AUBURN
State : NY
Zip : 13021-1831
Country : US
Telephone Number : 315-253-2746
Fax Number : 315-253-1077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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