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NPI Code Detail

MEDICARE: SPANISH SPEAKING EDERLY COUNCIL-RAICES

MEDICARE: SPANISH SPEAKING EDERLY COUNCIL-RAICES
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 Worker074875NY

General Provider Information

NPI Number : 1821271222
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPANISH SPEAKING EDERLY COUNCIL-RAICES
Provider Business Mailing Address
First Line : 410 E 17TH ST APT 4A
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-5736
Country : US
Telephone Number : 917-620-7265
Fax Number :
Provider Business Practice Location Address
First Line : 10 HANOVER PL PH
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5840
Country : US
Telephone Number : 718-222-1518
Fax Number : 718-222-4376
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MRS. LISETTE SOSA-DICKSON
Credential :
Telephone Number : 718-222-1518
Provider Enumeration Date : 12/10/2007
Last Update Date : 12/10/2007

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1134175722 — JOSE R ORTIZ ORTIZ LCSW
Practice Location Address:
10 HANOVER PL
BROOKLYN, NY
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Practice Fax: 718-222-4376
1740201094 — MRS. LISETTE SOSA-DICKSON LCSW
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1912180316 — SPANISH SPEAKING ELDERLY COUNCIL- RAICES
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1871776054 — MARIA R PIZARRO
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1902089998 — RAQUEL ORTIZ TERRON LCSW
Practice Location Address:
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1740529353 — ELSIE B MUNOZ
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Directions to “SPANISH SPEAKING EDERLY COUNCIL-RAICES ” Practice Location

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