MEDICARE: TASNIA AHAMED 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	101799	NY

General Provider Information

NPI Number	:	1841812286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASNIA AHAMED LMSW

Provider Business Mailing Address
First Line	:	8117 169TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1341
Country	:	US
Telephone Number	:	718-704-3421
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 W 43RD ST STE 803
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-7408
Country	:	US
Telephone Number	:	855-554-2545
Fax Number	:

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

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	05/07/2020

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