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NPI Code Detail

MEDICARE: ALISON NYMAN

MEDICARE: ALISON NYMAN
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 Worker086976NY
21041C0700XClinical Social WorkerSW14242FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SW14242OTHERFLLCSW

General Provider Information

NPI Number : 1891035630
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON NYMAN
Provider Business Mailing Address
First Line : 1462 NW 81ST TER
Second Line :
City : PLANTATION
State : FL
Zip : 33322-4663
Country : US
Telephone Number : 954-648-5153
Fax Number :
Provider Business Practice Location Address
First Line : 3325 HOLLYWOOD BLVD STE 503
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6926
Country : US
Telephone Number : 954-648-5153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2013
Last Update Date : 03/06/2019

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Directions to “ ALISON NYMAN ” Practice Location

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