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NPI Code Detail

MEDICARE: SVETLANA BERGER LCSW

MEDICARE:   SVETLANA  BERGER  LCSW
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 Worker082443NY

General Provider Information

NPI Number : 1699171942
Entity Type Code : Individual
Provider Name (Legal Business Name) : SVETLANA BERGER LCSW
Provider Business Mailing Address
First Line : 1549 E 17TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6709
Country : US
Telephone Number : 917-468-7117
Fax Number : 718-382-8875
Provider Business Practice Location Address
First Line : 1549 E 17TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6709
Country : US
Telephone Number : 917-468-7117
Fax Number : 718-382-8875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2014
Last Update Date : 11/14/2014

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Directions to “ SVETLANA BERGER LCSW” Practice Location

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