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NPI Code Detail

MEDICARE: AMY B DIRAMIO LCSW-R

MEDICARE: AMY B DIRAMIO LCSW-R
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 Worker075974NY

General Provider Information

NPI Number : 1881873818
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY B DIRAMIO LCSW-R
Provider Business Mailing Address
First Line : 60 ACADEMY RD
Second Line :
City : ALBANY
State : NY
Zip : 12208-3103
Country : US
Telephone Number : 518-982-2152
Fax Number :
Provider Business Practice Location Address
First Line : 60 ACADEMY RD
Second Line :
City : ALBANY
State : NY
Zip : 12208-3103
Country : US
Telephone Number : 518-982-2152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2007
Last Update Date : 12/02/2020

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