MEDICARE: LINDA CHESNEY

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	1041C0700X	Clinical Social Worker	074401	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750419248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA CHESNEY

Provider Business Mailing Address
First Line	:	3313 24TH AVE
Second Line	:	2ND FLOOR
City	:	ASTORIA
State	:	NY
Zip	:	11103-4403
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 5TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10118-0110
Country	:	US
Telephone Number	:	212-736-3100
Fax Number	:

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	09/28/2012

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Directions to “ LINDA CHESNEY ” Practice Location

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