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NPI Code Detail

MEDICARE: GERALDINE LESIEUR KURTZ LCSW

MEDICARE: GERALDINE LESIEUR KURTZ 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
1104100000XSocial Worker094930NY
21041C0700XClinical Social Worker088061NY

General Provider Information

NPI Number : 1942685284
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE LESIEUR KURTZ LCSW
Provider Business Mailing Address
First Line : 303 5TH AVE RM 1909
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6658
Country : US
Telephone Number : 212-545-9901
Fax Number :
Provider Business Practice Location Address
First Line : 303 5TH AVE RM 1909
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6658
Country : US
Telephone Number : 212-545-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2015
Last Update Date : 05/06/2019

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Directions to “ GERALDINE LESIEUR KURTZ LCSW” Practice Location

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