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NPI Code Detail

MEDICARE: BARBARA AZCONA LCSW

MEDICARE:   BARBARA  AZCONA  LCSW
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 Worker84496NY

General Provider Information

NPI Number : 1558662767
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA AZCONA LCSW
Provider Business Mailing Address
First Line : 224 W 35TH ST, SUITE 500 #3564
Second Line :
City : NEW YORK
State : NY
Zip : 10001
Country : US
Telephone Number : 347-460-9118
Fax Number :
Provider Business Practice Location Address
First Line : 26 COURT ST STE 1413
Second Line :
City : BROOKLYN
State : NY
Zip : 11242-1114
Country : US
Telephone Number : 917-375-6794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2010
Last Update Date : 12/03/2024

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Directions to “ BARBARA AZCONA LCSW” Practice Location

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