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NPI Code Detail

MEDICARE: DEVORA OBERMAN

MEDICARE: DEVORA OBERMAN
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 Worker076848NY

General Provider Information

NPI Number : 1770893323
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVORA OBERMAN
Provider Business Mailing Address
First Line : 1949 53RD STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1949 53RD STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11204
Country : US
Telephone Number : 718-236-1282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2010
Last Update Date : 10/18/2010

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Directions to “ DEVORA OBERMAN ” Practice Location

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