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NPI Code Detail

MEDICARE: COLLEEN QUIGLEY LCSW

MEDICARE: COLLEEN QUIGLEY 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 Worker089487NY

General Provider Information

NPI Number : 1144582628
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN QUIGLEY LCSW
Provider Business Mailing Address
First Line : 117 DOBBIN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-5502
Country : US
Telephone Number : 929-262-0704
Fax Number :
Provider Business Practice Location Address
First Line : 117 DOBBIN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-5502
Country : US
Telephone Number : 929-262-0704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2012
Last Update Date : 03/25/2022

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Directions to “ COLLEEN QUIGLEY LCSW” Practice Location

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