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NPI Code Detail

MEDICARE: AMANDA BARI PIZZUTIELLO

MEDICARE: AMANDA BARI PIZZUTIELLO
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 Worker

General Provider Information

NPI Number : 1609348242
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BARI PIZZUTIELLO
Provider Business Mailing Address
First Line : 3275 34TH ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-1801
Country : US
Telephone Number : 347-453-1664
Fax Number :
Provider Business Practice Location Address
First Line : 4010 DYRE AVE
Second Line :
City : BRONX
State : NY
Zip : 10466-2510
Country : US
Telephone Number : 718-231-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2018
Last Update Date : 12/20/2018

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Directions to “ AMANDA BARI PIZZUTIELLO ” Practice Location

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