MEDICARE: DR. MARTIN I. (INITIAL ONLY) GARFINKLE PHD

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
1	1041C0700X	Clinical Social Worker	RO17936	NY

General Provider Information

NPI Number	:	1902960834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN I. (INITIAL ONLY) GARFINKLE PHD

Provider Business Mailing Address
First Line	:	55 PRESIDENT ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-4154
Country	:	US
Telephone Number	:	718-370-3134
Fax Number	:	718-982-7006

Provider Business Practice Location Address
First Line	:	55 PRESIDENT ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-4154
Country	:	US
Telephone Number	:	718-370-3134
Fax Number	:	718-982-7006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	07/08/2007

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