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NPI Code Detail

MEDICARE: MORDECHI OSIAS

MEDICARE:   MORDECHI  OSIAS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1861919706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORDECHI OSIAS
Provider Business Mailing Address
First Line : 5675 W OLYMPIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-4712
Country : US
Telephone Number : 323-684-7089
Fax Number :
Provider Business Practice Location Address
First Line : 113 E 60TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10022-1939
Country : US
Telephone Number : 323-684-7089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2017
Last Update Date : 06/07/2024

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Directions to “ MORDECHI OSIAS ” Practice Location

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