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NPI Code Detail

MEDICARE: ANNE BOBRICK LCSW

MEDICARE: ANNE BOBRICK 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
1101YM0800XMental Health CounselorR001713-1NY

General Provider Information

NPI Number : 1871708909
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE BOBRICK LCSW
Provider Business Mailing Address
First Line : 1825 MADISON AVE
Second Line : APT. 4D
City : NEW YORK
State : NY
Zip : 10035-3829
Country : US
Telephone Number : 212-988-9845
Fax Number :
Provider Business Practice Location Address
First Line : 1825 MADISON AVE
Second Line : APT. 4D
City : NEW YORK
State : NY
Zip : 10035-3829
Country : US
Telephone Number : 212-988-9845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 10/30/2013

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