MEDICARE: GEORGE A MCCRAY 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1609038504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE A MCCRAY LMSW

Provider Business Mailing Address
First Line	:	2730 BRONX PARK E APT J21
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-0740
Country	:	US
Telephone Number	:	718-655-8916
Fax Number	:	718-655-8940

Provider Business Practice Location Address
First Line	:	2215 HOLLAND AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-9401
Country	:	US
Telephone Number	:	718-655-8916
Fax Number	:	718-655-8940

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

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	04/04/2019

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Directions to “ GEORGE A MCCRAY LMSW” Practice Location

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