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NPI Code Detail

MEDICARE: MARJORIE JILL REMALY LCSW

MEDICARE: MARJORIE JILL REMALY LCSW
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
11041C0700XClinical Social WorkerR028880-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17403106OTHERGHI

General Provider Information

NPI Number : 1326105172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARJORIE JILL REMALY LCSW
Provider Business Mailing Address
First Line : PO BOX 63
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-0063
Country : US
Telephone Number : 845-353-4249
Fax Number :
Provider Business Practice Location Address
First Line : 2050 SAW MILL RIVER RD
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4143
Country : US
Telephone Number : 845-353-4249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 02/19/2008

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