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NPI Code Detail

MEDICARE: FRUMIE GOTTLIEB

MEDICARE: FRUMIE GOTTLIEB
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
11041S0200XSchool Social Worker

General Provider Information

NPI Number : 1548859663
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRUMIE GOTTLIEB
Provider Business Mailing Address
First Line : 1853 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-1907
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 926 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-3913
Country : US
Telephone Number : 718-875-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 01/13/2021

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Directions to “ FRUMIE GOTTLIEB ” Practice Location

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