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NPI Code Detail

MEDICARE: MS. CHRISTINA DEL PURGATORIO LCSW

MEDICARE:  MS. CHRISTINA  DEL PURGATORIO  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 Worker078863NY

General Provider Information

NPI Number : 1164703385
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA DEL PURGATORIO LCSW
Provider Business Mailing Address
First Line : 69 PINEHURST AVE
Second Line : APT 2E
City : NEW YORK
State : NY
Zip : 10033-4501
Country : US
Telephone Number : 646-245-4640
Fax Number :
Provider Business Practice Location Address
First Line : 251 E 77TH ST
Second Line : ST LL
City : NEW YORK
State : NY
Zip : 10075-2045
Country : US
Telephone Number : 212-288-1450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 09/01/2011

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Directions to “ MS. CHRISTINA DEL PURGATORIO LCSW” Practice Location

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