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NPI Code Detail

MEDICARE: MS. KAREN LYNN NESS LMSW

MEDICARE: MS. KAREN LYNN NESS 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 Worker068240-1NY

General Provider Information

NPI Number : 1790952851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN LYNN NESS LMSW
Provider Business Mailing Address
First Line : 1235 MONTAUK HWY
Second Line :
City : MASTIC
State : NY
Zip : 11950-2917
Country : US
Telephone Number : 631-281-4461
Fax Number : 631-281-4258
Provider Business Practice Location Address
First Line : 1235 MONTAUK HWY
Second Line :
City : MASTIC
State : NY
Zip : 11950-2917
Country : US
Telephone Number : 631-281-4461
Fax Number : 631-281-4258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 05/08/2008

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