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NPI Code Detail

MEDICARE: ANDREW KUNTZ MSW

MEDICARE: ANDREW KUNTZ 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
11041C0700XClinical Social WorkerP038651NY

General Provider Information

NPI Number : 1992917066
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW KUNTZ MSW
Provider Business Mailing Address
First Line : 8 VEATCH ST
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-3739
Country : US
Telephone Number : 845-298-7996
Fax Number :
Provider Business Practice Location Address
First Line : 750 TILDEN ST
Second Line :
City : BRONX
State : NY
Zip : 10467-6013
Country : US
Telephone Number : 718-231-3400
Fax Number : 718-655-3503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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