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NPI Code Detail

MEDICARE: MS. ALICIA BATISTA LCSW

MEDICARE: MS. ALICIA BATISTA 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 Worker073844NY
21041C0700XClinical Social Worker073844NY
31041S0200XSchool Social Worker073844NY

General Provider Information

NPI Number : 1861706269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICIA BATISTA LCSW
Provider Business Mailing Address
First Line : PO BOX 351
Second Line :
City : ALBRIGHTSVILLE
State : PA
Zip : 18210-0351
Country : US
Telephone Number : 646-387-4533
Fax Number :
Provider Business Practice Location Address
First Line : 624 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3202
Country : US
Telephone Number : 718-972-6561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2010
Last Update Date : 07/28/2010

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