Vivian Abano Bollmann in Port Jefferson - Clinical
Vivian Abano Bollmann - NPI 1649390725
Vivian Abano Bollmann is a Clinical in Port Jefferson, New York. Vivian Abano Bollmann practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vivian Abano Bollmann is 1649390725. The last update date is 2007-07-08.
Vivian Abano Bollmann's current location address is 1 High Street, Port Jefferson, New York. You can contact this provider via phone number 6319780188. The mailing address for Vivian Abano Bollmann is 1 High Street, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vivian Abano Bollmann |
|---|---|
| Address | 1 High Street, Port Jefferson, New York |
| Phone Number | 6319780188 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CLINICAL S |
NPI Number Detail
| NPI Number | 1649390725 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 High Street |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 11777 |
| Phone Number | 6319780188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 75265 |
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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 identification code assigned to Vivian Abano Bollmann by the Centers for Medicare & Medicaid Services?
The Vivian Abano Bollmann has been issued the NPI (National Provider Identifier) 1649390725. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Vivian Abano Bollmann?
The Vivian Abano Bollmann is physically situated at 1 High Street, in the city of Port Jefferson, state of NY, with the postal code 11777.
What is Vivian Abano Bollmann's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vivian Abano Bollmann's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Vivian Abano Bollmann receive its 1649390725?
The Vivian Abano Bollmann was issued its 1649390725 on 2007-03-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Vivian Abano Bollmann most recently updated or revised?
The information pertaining to Vivian Abano Bollmann, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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