Dominique Nerestan is a Clinical in Bronx, New York. Dominique Nerestan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dominique Nerestan is 1467646059. The last update date is 2018-06-14.
Dominique Nerestan's current location address is 3510 Bainbridge Ave, Bronx, New York. You can contact this provider via phone number 7187085655 and fax number 8888124062. The mailing address for Dominique Nerestan is 3510 Bainbridge Ave, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominique Nerestan |
|---|---|
| Address | 3510 Bainbridge Ave, Bronx, New York |
| Phone Number | 7187085655 |
| Fax Number | 8888124062 |
| Sole Proprietor | Y |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1467646059 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2018-06-14 |
Provider Mailing Address Detail
| Address | 3510 Bainbridge Ave |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104671419 |
| Phone Number | 7187085655 |
| Fax Number | 8888124062 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R063179-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R063179 | NY | NYS LICENSE |
Post Comment/ Review Below
What is the Dominique Nerestan's unique identification number?
The Dominique Nerestan has been assigned the NPI (National Provider Identifier) Number 1467646059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dominique Nerestan is located?
The Dominique Nerestan is situated at the following address: 3510 Bainbridge Ave, Bronx, NY, 104671419.
What is the Dominique Nerestan's area of specialization and corresponding taxonomy classification?
The Dominique Nerestan's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Dominique Nerestan receive its 1467646059 assignment?
The Dominique Nerestan was assigned its 1467646059 on 2007-08-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Dominique Nerestan most recently updated or revised?
The information pertaining to Dominique Nerestan, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-14.
NPI Number: 1235130048
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