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NPI Code Detail

MEDICARE: MRS. GINA F MOLINET LMSW

MEDICARE: MRS. GINA F MOLINET 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
11041C0700XClinical Social Worker069577-1NY

General Provider Information

NPI Number : 1881707040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA F MOLINET LMSW
Provider Business Mailing Address
First Line : 188 SOMERSET DR
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-3758
Country : US
Telephone Number : 516-639-4121
Fax Number :
Provider Business Practice Location Address
First Line : 7559 263RD ST
Second Line :
City : GLEN OAKS
State : NY
Zip : 11004-1150
Country : US
Telephone Number : 718-470-8613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 02/25/2010

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