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NPI Code Detail

MEDICARE: MRS. PATRICE MARIE MONAGHAN LCSW

MEDICARE: MRS. PATRICE MARIE MONAGHAN LCSW
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
11041C0700XClinical Social Worker053693NY

General Provider Information

NPI Number : 1013136100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICE MARIE MONAGHAN LCSW
Provider Business Mailing Address
First Line : 580 WHITE PLAINS RD STE 510
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-5152
Country : US
Telephone Number : 914-345-5900
Fax Number :
Provider Business Practice Location Address
First Line : 580 WHITE PLAINS RD STE 510
Second Line :
City : TARRYTOWN
State : NY
Zip : 10591-5152
Country : US
Telephone Number : 914-345-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 03/22/2023

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