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NPI Code Detail

MEDICARE: MRS. TARA ANN MUGLIA L.C.S.W.

MEDICARE:  MRS. TARA ANN MUGLIA  L.C.S.W.
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 Worker071069-1NY
21041C0700XClinical Social Worker077025-1NY

General Provider Information

NPI Number : 1164649570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TARA ANN MUGLIA L.C.S.W.
Provider Business Mailing Address
First Line : 426 N RAILROAD AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10304-4145
Country : US
Telephone Number : 718-370-2084
Fax Number :
Provider Business Practice Location Address
First Line : 1492 RICHMOND RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10304-2319
Country : US
Telephone Number : 917-770-9757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 05/31/2024

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Directions to “ MRS. TARA ANN MUGLIA L.C.S.W.” Practice Location

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