Healthcare Provider Details

I. General information

NPI: 1386629400
Provider Name (Legal Business Name): KAREN ABBRUZZESE MUSICARO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 COURTHOUSE RD
FRANKLIN SQUARE NY
11010-3054
US

IV. Provider business mailing address

218 COURTHOUSE RD
FRANKLIN SQUARE NY
11010-3054
US

V. Phone/Fax

Practice location:
  • Phone: 516-287-6912
  • Fax: 516-872-9304
Mailing address:
  • Phone: 516-287-6912
  • Fax: 516-872-9304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP062036-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: