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Organization
INES M MERCEDES-ALCANTARA L.C.S.W
Active
Organization
INES M MERCEDES-ALCANTARA L.C.S.W
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES C ESTEVEZ (OFFICE MANAGER)
(917) 294-4725
Entity
Organization
Contact information
Practice address
2360 AMSTERDAM AVE, SUITE # M-2, NEW YORK, NY 10033-7362
(646) 678-5222
(646) 678-5119
Mailing address
2360 AMSTERDAM AVE, SUITE M-2, NEW YORK, NY 10033-7362
(646) 678-5222
(646) 678-5119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO54425-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02764363
—
NY
01
—
A300037937
MEDICARE PTAN
NY
Enumeration date
01/10/2012
Last updated
01/10/2012
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