Elizabeth Antonio is a Clinical in Bronx, New York. Elizabeth Antonio practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Antonio is 1376680835. The last update date is 2007-07-08.
Elizabeth Antonio's current location address is 2021 Grand Concourse, Bronx, New York. You can contact this provider via phone number 7189600310. The mailing address for Elizabeth Antonio is 2021 Grand Concourse, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Antonio |
|---|---|
| Address | 2021 Grand Concourse, Bronx, New York |
| Phone Number | 7189600310 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CLINICAL S |
NPI Number Detail
| NPI Number | 1376680835 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2021 Grand Concourse |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 1045343040 |
| Phone Number | 7189600310 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 64839 |
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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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What is the unique 10-digit identification code issued to Elizabeth Antonio by the Centers for Medicare & Medicaid Services?
The Elizabeth Antonio has been assigned the NPI (National Provider Identifier) 1376680835 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Elizabeth Antonio?
The Elizabeth Antonio is physically situated at 2021 Grand Concourse, in the city of Bronx, state of NY, with the postal code 1045343040.
What is Elizabeth Antonio's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elizabeth Antonio's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376680835 to Elizabeth Antonio?
The Centers for Medicare & Medicaid Services assigned the 1376680835 to Elizabeth Antonio on 2007-01-31.
As of what date were the details related to Elizabeth Antonio most recently updated or revised?
The information pertaining to Elizabeth Antonio, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.