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NPI Code Detail

MEDICARE: MS. LINDA ELASSAD LCSW

MEDICARE: MS. LINDA ELASSAD 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 WorkerR046192NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1247432OTHERNYVALUE OPTION
222708POTHERNYHIP
3P3395236OTHERNYOXFORD
47337124OTHERNYGHI
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952330045
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA ELASSAD LCSW
Provider Business Mailing Address
First Line : 278 WOOLLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-2094
Country : US
Telephone Number : 718-987-2225
Fax Number :
Provider Business Practice Location Address
First Line : 201 BRYSON AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1922
Country : US
Telephone Number : 718-987-2225
Fax Number : 718-987-0024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 11/25/2015

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