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NPI Code Detail

MEDICARE: TIERNEY VERDERAMI

MEDICARE: TIERNEY VERDERAMI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist001405NY

General Provider Information

NPI Number : 1083140693
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIERNEY VERDERAMI
Provider Business Mailing Address
First Line : 1776 CLAY AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-7239
Country : US
Telephone Number : 718-960-7568
Fax Number :
Provider Business Practice Location Address
First Line : 435 E 119TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10035-3627
Country : US
Telephone Number : 212-360-4002
Fax Number : 212-369-4011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2017
Last Update Date : 05/03/2017

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Directions to “ TIERNEY VERDERAMI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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