MEDICARE: MR. JOHN F. SCROOPE M.S.W.

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	104100000X	Social Worker	R013754	NY
2	1041C0700X	Clinical Social Worker	R013754	NY

General Provider Information

NPI Number	:	1710977137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN F. SCROOPE M.S.W.

Provider Business Mailing Address
First Line	:	115 WEST 27TH STREET
Second Line	:	4TH FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10001-6217
Country	:	US
Telephone Number	:	212-242-4887
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 WEST 27TH STREET
Second Line	:	4TH FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10001-6217
Country	:	US
Telephone Number	:	212-242-4887
Fax Number	:

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	07/06/2009

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