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NPI Code Detail

MEDICARE: MRS. MADELIN ZAMBRANA-GONZALEZ LMSW

MEDICARE: MRS. MADELIN ZAMBRANA-GONZALEZ LMSW
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 Worker065785NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1065785OTHERNYLICENSE #:

General Provider Information

NPI Number : 1982709853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MADELIN ZAMBRANA-GONZALEZ LMSW
Provider Business Mailing Address
First Line : 312 E 94TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10128-5604
Country : US
Telephone Number : 212-423-3000
Fax Number : 212-423-2920
Provider Business Practice Location Address
First Line : 312 E 94TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10128-5604
Country : US
Telephone Number : 212-423-3000
Fax Number : 212-423-2920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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