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NPI Code Detail

MEDICARE: STEP BY STEP BEHAVIORAL AND THERAPEUTIC LMSW SERVICES PLLC

MEDICARE: STEP BY STEP BEHAVIORAL AND THERAPEUTIC LMSW SERVICES PLLC
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
1251S00000XCommunity/Behavioral Health Agency001041NY
2252Y00000XEarly Intervention Provider Agency083369-1NY

General Provider Information

NPI Number : 1760825749
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEP BY STEP BEHAVIORAL AND THERAPEUTIC LMSW SERVICES PLLC
Provider Business Mailing Address
First Line : 20 COWEN PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2012
Country : US
Telephone Number : 917-889-1918
Fax Number :
Provider Business Practice Location Address
First Line : 20 COWEN PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2012
Country : US
Telephone Number : 917-889-1918
Fax Number :
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : BABATUNDE EFUNIYI
Credential : LMSW
Telephone Number : 917-889-1918
Provider Enumeration Date : 04/09/2013
Last Update Date : 01/18/2017

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Directions to “STEP BY STEP BEHAVIORAL AND THERAPEUTIC LMSW SERVICES PLLC ” Practice Location

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