MEDICARE: CHRISTESLA DUROSKA 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
1	104100000X	Social Worker	2504056	NY

General Provider Information

NPI Number	:	1801675244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTESLA DUROSKA LMSW

Provider Business Mailing Address
First Line	:	1234 SAINT JOHNS PL UNIT 130039
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-2992
Country	:	US
Telephone Number	:	646-535-9420
Fax Number	:

Provider Business Practice Location Address
First Line	:	1234 SAINT JOHNS PL UNIT 130039
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-2992
Country	:	US
Telephone Number	:	646-535-9420
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	04/13/2026

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