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NPI Code Detail

MEDICARE: FATIMA CARTER

MEDICARE: FATIMA CARTER
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 Worker114384NY

General Provider Information

NPI Number : 1649814385
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATIMA CARTER
Provider Business Mailing Address
First Line : 100 N BROADWAY
Second Line :
City : IRVINGTON
State : NY
Zip : 10533-1254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1775 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10453-8202
Country : US
Telephone Number : 914-591-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2019
Last Update Date : 05/19/2026

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Directions to “ FATIMA CARTER ” Practice Location

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