MEDICARE: FLORENCE MARONEY LMHC D-P, LMT

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
1	101YM0800X	Mental Health Counselor	006916-01	NY
2	225700000X	Massage Therapist	033965-01	NY
3	101YA0400X	Addiction (Substance Use Disorder) Counselor		NY

General Provider Information

NPI Number	:	1043627714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLORENCE MARONEY LMHC D-P, LMT

Provider Business Mailing Address
First Line	:	1666 MARINE PKWY FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4217
Country	:	US
Telephone Number	:	516-510-0694
Fax Number	:

Provider Business Practice Location Address
First Line	:	1666 MARINE PKWY FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4217
Country	:	US
Telephone Number	:	516-510-0694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2014
Last Update Date	:	02/26/2026

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