Healthcare Provider Details

I. General information

NPI: 1073441937
Provider Name (Legal Business Name): CHRISTINA CARGULIA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 NORTH ST
WHITE PLAINS NY
10605-2217
US

IV. Provider business mailing address

4 ROSS LN
NEW CITY NY
10956-6004
US

V. Phone/Fax

Practice location:
  • Phone: 914-269-2172
  • Fax:
Mailing address:
  • Phone: 845-548-1322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number129724-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: