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NPI Code Detail

MEDICARE: MR. DAVID SHERNOFF LMSW

MEDICARE: MR. DAVID SHERNOFF LMSW
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 Worker0819191NY

General Provider Information

NPI Number : 1578802534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID SHERNOFF LMSW
Provider Business Mailing Address
First Line : 10 CLINTON ST
Second Line : 13N
City : BROOKLYN
State : NY
Zip : 11201-2748
Country : US
Telephone Number : 440-682-0675
Fax Number :
Provider Business Practice Location Address
First Line : 50 NEVINS ST
Second Line : ADULT MENTAL HEALTH
City : BROOKLYN
State : NY
Zip : 11217-1004
Country : US
Telephone Number : 440-682-0675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2013
Last Update Date : 02/11/2013

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