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NPI Code Detail

MEDICARE: MS. ILENE MOSKIN LCSW

MEDICARE:  MS. ILENE  MOSKIN  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 WorkerR040101-1NY

General Provider Information

NPI Number : 1922105931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ILENE MOSKIN LCSW
Provider Business Mailing Address
First Line : 405 W 57TH ST
Second Line : #6B
City : NEW YORK
State : NY
Zip : 10019-1721
Country : US
Telephone Number : 212-246-8519
Fax Number :
Provider Business Practice Location Address
First Line : 2020 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2329
Country : US
Telephone Number : 718-676-4222
Fax Number : 718-676-4216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ MS. ILENE MOSKIN LCSW” Practice Location

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