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NPI Code Detail

MEDICARE: NADIA CORINNE ANTOSZYK

MEDICARE: NADIA CORINNE ANTOSZYK
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 WorkerC004021NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902088719
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIA CORINNE ANTOSZYK
Provider Business Mailing Address
First Line : 1097 SARDIS COVE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-2121
Country : US
Telephone Number : 704-516-4467
Fax Number :
Provider Business Practice Location Address
First Line : 769 N WENDOVER RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-1118
Country : US
Telephone Number : 704-376-7180
Fax Number : 704-531-9266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2007
Last Update Date : 05/03/2018

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Directions to “ NADIA CORINNE ANTOSZYK ” Practice Location

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