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NPI Code Detail

MEDICARE: MS. BARBARA ANDRUS DEVITTO LCSW

MEDICARE: MS. BARBARA ANDRUS DEVITTO 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 WorkerR041204-1NY

General Provider Information

NPI Number : 1730326208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA ANDRUS DEVITTO LCSW
Provider Business Mailing Address
First Line : 88 PENARROW RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-1722
Country : US
Telephone Number : 585-295-3658
Fax Number :
Provider Business Practice Location Address
First Line : 150 ALLENS CREEK RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3308
Country : US
Telephone Number : 585-295-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2009
Last Update Date : 01/20/2009

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