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NPI Code Detail

MEDICARE: BONNIE LANGER LCSW

MEDICARE: BONNIE LANGER 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
1104100000XSocial Worker093525NY
21041C0700XClinical Social Worker087955NY

General Provider Information

NPI Number : 1851786974
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE LANGER LCSW
Provider Business Mailing Address
First Line : 3300 NORTHERN BLVD FL 5
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-2215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 109 E 115TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10029-1186
Country : US
Telephone Number : 917-485-7280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2015
Last Update Date : 03/14/2023

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Directions to “ BONNIE LANGER LCSW” Practice Location

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