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Emanuela Tania Da Prada

Social Worker

Behavioral Health & Social Service Providers

217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277

PECOS Enrollment

This provider is enrolled in PECOS as EMANUELA DA PRADA.

Based on the most recent information from CMS, provider Emanuela Tania Da Prada is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1790891992
Provider Type
Individual
Full Name
Da Prada, Emanuela Tania
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/21/2006
Last Updated
7/8/2007

Contact Information

Practice Location

217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277

(718) 963-4430

(718) 963-0814

Mailing Location

217 Havemeyer Street, 4th Floor, Brooklyn, NY 11211

(718) 963-4430

(718) 963-0814

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 075674 New York

Provider Identifiers

ID	Description	Issuer
ID 040426033245	Description Other	Issuer FIDELIS PROVIDER NUMBER New York

Emanuela Tania Da Prada

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Ferrell, Stephanie

Zoller, Haley Ann

Greenberg, Myron

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Summerhill, Laura C.

Osborne, Monica

Lopez, Othoniel

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Federico, Laura