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NPI Code Detail

MEDICARE: MARY RAGAGLIA

MEDICARE: MARY RAGAGLIA
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
1163WC0200XCritical Care Medicine Registered Nurse751918NY

General Provider Information

NPI Number : 1093646622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY RAGAGLIA
Provider Business Mailing Address
First Line : 34 WILLOW ST
Second Line :
City : GLEN RIDGE
State : NJ
Zip : 07028-1020
Country : US
Telephone Number : 860-748-3517
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 860-748-3517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ MARY RAGAGLIA ” Practice Location

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