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NPI Code Detail

MEDICARE: BIANCA COLON LMSW

MEDICARE: BIANCA COLON LMSW
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
1104100000XSocial Worker083244-1NY

General Provider Information

NPI Number : 1770881047
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA COLON LMSW
Provider Business Mailing Address
First Line : 357 LINWOOD ST
Second Line : 2ND FLOOR
City : BROOKLYN
State : NY
Zip : 11208-2117
Country : US
Telephone Number : 917-543-1620
Fax Number :
Provider Business Practice Location Address
First Line : 102 PILLING ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-1610
Country : US
Telephone Number : 718-602-1000
Fax Number : 718-602-1111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2011
Last Update Date : 03/10/2011

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Directions to “ BIANCA COLON LMSW” Practice Location

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