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NPI Code Detail

MEDICARE: MS. MIRIAM HARLIE TURK LCSW

MEDICARE: MS. MIRIAM HARLIE TURK LCSW
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 Worker039451-1NY

General Provider Information

NPI Number : 1902981178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MIRIAM HARLIE TURK LCSW
Provider Business Mailing Address
First Line : 659 E 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-5903
Country : US
Telephone Number : 718-851-4025
Fax Number : 718-851-4025
Provider Business Practice Location Address
First Line : 1273 53RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-3820
Country : US
Telephone Number : 718-435-5700
Fax Number : 718-854-5495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/08/2007

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