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NPI Code Detail

MEDICARE: MRS. YERALDIN COLUMBEL LCSW

MEDICARE:  MRS. YERALDIN  COLUMBEL  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 Worker079787NY

General Provider Information

NPI Number : 1609294529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YERALDIN COLUMBEL LCSW
Provider Business Mailing Address
First Line : 9 SUSSEX AVE
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-2434
Country : US
Telephone Number : 917-538-8302
Fax Number :
Provider Business Practice Location Address
First Line : 727 N BROADWAY STE A2
Second Line :
City : NORTH MASSAPEQUA
State : NY
Zip : 11758-2348
Country : US
Telephone Number : 917-538-8302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2014
Last Update Date : 01/14/2020

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Directions to “ MRS. YERALDIN COLUMBEL LCSW” Practice Location

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