MEDICARE: FABIENNE HYACINTHE

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	104100000X	Social Worker	050612-1	NY

General Provider Information

NPI Number	:	1962719088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABIENNE HYACINTHE

Provider Business Mailing Address
First Line	:	739 E 46TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5731
Country	:	US
Telephone Number	:	917-815-6825
Fax Number	:

Provider Business Practice Location Address
First Line	:	739 E 46TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5731
Country	:	US
Telephone Number	:	917-815-6825
Fax Number	:

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

Provider Enumeration Date	:	09/10/2010
Last Update Date	:	09/10/2010

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Directions to “ FABIENNE HYACINTHE ” Practice Location

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