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NPI Code Detail

MEDICARE: HANNAH ROSE LONGMAN

MEDICARE: HANNAH ROSE LONGMAN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1770113185
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ROSE LONGMAN
Provider Business Mailing Address
First Line : 201 31ST ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-1802
Country : US
Telephone Number : 203-231-3347
Fax Number :
Provider Business Practice Location Address
First Line : 192 THROOP AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5334
Country : US
Telephone Number : 929-210-9333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2020
Last Update Date : 01/24/2020

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Directions to “ HANNAH ROSE LONGMAN ” Practice Location

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