MEDICARE: MS. HONORA NOREEN DENISE HUNT

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	074905	NY

General Provider Information

NPI Number	:	1598070823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HONORA NOREEN DENISE HUNT

Provider Business Mailing Address
First Line	:	583 CORRELL AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-4235
Country	:	US
Telephone Number	:	718-227-5158
Fax Number	:

Provider Business Practice Location Address
First Line	:	3312 AVENUE N # 30S
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2645
Country	:	US
Telephone Number	:	718-449-5146
Fax Number	:

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

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	08/11/2010

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