MEDICARE: MRS. ANTOINETTE MARIE NOTO LMSWR

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
1	1041C0700X	Clinical Social Worker	R011882-1	NY

General Provider Information

NPI Number	:	1578886099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANTOINETTE MARIE NOTO LMSWR

Provider Business Mailing Address
First Line	:	1884 RAILROAD AVE
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4406
Country	:	US
Telephone Number	:	914-439-2507
Fax Number	:	914-248-3659

Provider Business Practice Location Address
First Line	:	1884 RAILROAD AVE
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4406
Country	:	US
Telephone Number	:	914-439-2507
Fax Number	:	914-248-3659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	03/11/2010

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