MEDICARE: DANIEL AARON LCSW, PH.D.

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	R020339	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	274309	OTHER	NY	MHN
2	0037187	OTHER	NY	GHI
3	R020339	OTHER	NY	HIP
4	146893	OTHER	NY	VALUE OPTIONS

General Provider Information

NPI Number	:	1922076017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL AARON LCSW, PH.D.

Provider Business Mailing Address
First Line	:	445 BROADWAY
Second Line	:	SUITE 1R
City	:	HASTINGS ON HUDSON
State	:	NY
Zip	:	10706-2331
Country	:	US
Telephone Number	:	914-478-7740
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 NETHERLAND AVE
Second Line	:	SUITE 116
City	:	BRONX
State	:	NY
Zip	:	10463-4801
Country	:	US
Telephone Number	:	718-432-0629
Fax Number	:	914-921-3167

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

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