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NPI Code Detail

MEDICARE: LINDATROIA,LCSW, P.C.

MEDICARE: LINDATROIA,LCSW, P.C.
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 WorkerR054278NY

General Provider Information

NPI Number : 1780740688
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDATROIA,LCSW, P.C.
Provider Business Mailing Address
First Line : 7195 FARNHAM RD
Second Line :
City : MEMPHIS
State : NY
Zip : 13112-8764
Country : US
Telephone Number : 315-487-2770
Fax Number : 315-487-2618
Provider Business Practice Location Address
First Line : 5100 W GENESEE ST
Second Line :
City : CAMILLUS
State : NY
Zip : 13031-2354
Country : US
Telephone Number : 315-487-2770
Fax Number : 315-487-2618
Authorized Official
Title or Position : PRESIDENT
Name : MS. LINDA TROIA
Credential : LCSW
Telephone Number : 315-487-2770
Provider Enumeration Date : 12/28/2006
Last Update Date : 03/11/2013

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