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NPI Code Detail

MEDICARE: MS. DONNA MARIE TUMINELLI L.M.S.W.

MEDICARE: MS. DONNA MARIE TUMINELLI L.M.S.W.
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
1104100000XSocial Worker055590NY

General Provider Information

NPI Number : 1619246055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA MARIE TUMINELLI L.M.S.W.
Provider Business Mailing Address
First Line : 137 SHIEL AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-4281
Country : US
Telephone Number : 718-226-2812
Fax Number :
Provider Business Practice Location Address
First Line : 392 SEGUINE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3906
Country : US
Telephone Number : 718-226-2812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2011
Last Update Date : 12/14/2011

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