Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 078593 | NY |
NPI | 1003041880 |
---|---|
Provider Name | Ms. Natalie R Foote |
First Address | Brooklyn, NY 11201-6307 |
Second Address | Brooklyn, NY 11207-2412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2009 |
Last Update Date | 21/05/2009 |