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NPI Code Detail

MEDICARE: MR. CESAR R VERA LCSW

MEDICARE: MR. CESAR R VERA LCSW
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 WorkerPR0255461NY

General Provider Information

NPI Number : 1841350782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CESAR R VERA LCSW
Provider Business Mailing Address
First Line : 147 47 HOOVER AVE
Second Line :
City : JAMAICA
State : NY
Zip : 11432-2139
Country : US
Telephone Number : 718-523-3927
Fax Number :
Provider Business Practice Location Address
First Line : OCNI 37 64 72ND ST
Second Line :
City : JACKSON HTS
State : NY
Zip : 11372-6143
Country : US
Telephone Number : 718-335-3434
Fax Number : 718-335-4731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/08/2007

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Directions to “ MR. CESAR R VERA LCSW” Practice Location

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