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NPI Code Detail

MEDICARE: JOAN P ZIMMERMAN CSWR

MEDICARE:   JOAN P ZIMMERMAN  CSWR
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 WorkerR050967NY

General Provider Information

NPI Number : 1619917648
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN P ZIMMERMAN CSWR
Provider Business Mailing Address
First Line : 320 7TH AVE
Second Line : STE 227
City : BROOKLYN
State : NY
Zip : 11215-4113
Country : US
Telephone Number : 718-398-3839
Fax Number : 718-398-3839
Provider Business Practice Location Address
First Line : 567 9TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-4205
Country : US
Telephone Number : 718-398-3839
Fax Number : 718-398-3839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 10/11/2007

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Directions to “ JOAN P ZIMMERMAN CSWR” Practice Location

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