Healthcare Provider Details

I. General information

NPI: 1275310229
Provider Name (Legal Business Name): REGINA ANN GARUFI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 09/13/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 HILL BLVD SUITE K
YORKTOWN HEIGHTS NY
10598
US

IV. Provider business mailing address

582 COCHECTON TURNPIKE
NARROWS BURG NY
12764
US

V. Phone/Fax

Practice location:
  • Phone: 914-352-6116
  • Fax:
Mailing address:
  • Phone: 917-847-6039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number105427
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: