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NPI Code Detail

MEDICARE: ROBYN GARRETT LCSW

MEDICARE: ROBYN GARRETT 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 Worker081655-1NY

General Provider Information

NPI Number : 1184855850
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN GARRETT LCSW
Provider Business Mailing Address
First Line : 31 EAGLES WAY
Second Line :
City : COLD SPRING
State : NY
Zip : 10516-4116
Country : US
Telephone Number : 917-327-4860
Fax Number :
Provider Business Practice Location Address
First Line : 16 E 41ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10017-6217
Country : US
Telephone Number : 917-327-4860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2009
Last Update Date : 11/23/2015

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