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NPI Code Detail

MEDICARE: DOMINICK CORBETT MSW

MEDICARE: DOMINICK CORBETT MSW
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 Worker

General Provider Information

NPI Number : 1972911451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINICK CORBETT MSW
Provider Business Mailing Address
First Line : 369 WEST ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-5731
Country : US
Telephone Number : 413-442-1503
Fax Number :
Provider Business Practice Location Address
First Line : 369 WEST ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-5731
Country : US
Telephone Number : 413-442-1503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 07/28/2014

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Directions to “ DOMINICK CORBETT MSW” Practice Location

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