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NPI Code Detail

MEDICARE: MS. MAYRA AMI URRUTIA

MEDICARE: MS. MAYRA AMI URRUTIA
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 Worker

General Provider Information

NPI Number : 1932868775
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAYRA AMI URRUTIA
Provider Business Mailing Address
First Line : 610 E 5TH ST APT 14
Second Line :
City : NEW YORK
State : NY
Zip : 10009-6816
Country : US
Telephone Number : 347-603-3885
Fax Number :
Provider Business Practice Location Address
First Line : 2846 STILLWELL AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2624
Country : US
Telephone Number : 718-975-4888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2021
Last Update Date : 12/09/2021

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Directions to “ MS. MAYRA AMI URRUTIA ” Practice Location

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