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NPI Code Detail

MEDICARE: MONIQUE HARDING

MEDICARE: MONIQUE HARDING
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 Worker082452-1NY

General Provider Information

NPI Number : 1538583877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE HARDING
Provider Business Mailing Address
First Line : 628 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-437-5571
Fax Number :
Provider Business Practice Location Address
First Line : 628 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-437-5571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2014
Last Update Date : 02/06/2014

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Directions to “ MONIQUE HARDING ” Practice Location

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