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NPI Code Detail

MEDICARE: REGINE DELCARMEL PETIGNY LMSW

MEDICARE:   REGINE DELCARMEL PETIGNY  LMSW
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
1104100000XSocial Worker076823NY
21041C0700XClinical Social Worker098748NY

General Provider Information

NPI Number : 1831618461
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINE DELCARMEL PETIGNY LMSW
Provider Business Mailing Address
First Line : 8045 WINCHESTER BLVD
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11427-2193
Country : US
Telephone Number : 718-722-2833
Fax Number :
Provider Business Practice Location Address
First Line : 104 N TERRACE PL
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-3714
Country : US
Telephone Number : 347-306-7435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2017
Last Update Date : 12/09/2024

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Directions to “ REGINE DELCARMEL PETIGNY LMSW” Practice Location

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