MEDICARE: MS. ROSEMARIE VERDERAME CSW

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	081277-1	NY

General Provider Information

NPI Number	:	1629166467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARIE VERDERAME CSW

Provider Business Mailing Address
First Line	:	201 W 89TH ST
Second Line	:	APT 11E
City	:	NEW YORK
State	:	NY
Zip	:	10024-1848
Country	:	US
Telephone Number	:	212-874-9170
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 5TH AVE RM 1206B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-8016
Country	:	US
Telephone Number	:	917-679-6181
Fax Number	:

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	02/23/2022

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