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NPI Code Detail

MEDICARE: MS. DEBRA ANN MALFATTI LCSW

MEDICARE: MS. DEBRA ANN MALFATTI 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 WorkerRO56279-1NY

General Provider Information

NPI Number : 1710014949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA ANN MALFATTI LCSW
Provider Business Mailing Address
First Line : 116 SW 14TH ST
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-4642
Country : US
Telephone Number : 631-874-9524
Fax Number :
Provider Business Practice Location Address
First Line : 1500 GATEWAY BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7233
Country : US
Telephone Number : 631-874-9524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 01/08/2018

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