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NPI Code Detail

MEDICARE: ALICIA RANIOLA LCSW & ASSOCIATES P.L.L.C

MEDICARE: ALICIA RANIOLA LCSW & ASSOCIATES P.L.L.C
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 Worker078413NY

General Provider Information

NPI Number : 1184990921
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALICIA RANIOLA LCSW & ASSOCIATES P.L.L.C
Provider Business Mailing Address
First Line : 2483 ARTHUR KILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-1207
Country : US
Telephone Number : 347-850-2585
Fax Number :
Provider Business Practice Location Address
First Line : 2483 ARTHUR KILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-1207
Country : US
Telephone Number : 347-850-2585
Fax Number :
Authorized Official
Title or Position : LICENSED CLINICAL SOCIAL WORKER
Name : ALICIA RANIOLA
Credential : LCSW
Telephone Number : 347-850-2585
Provider Enumeration Date : 03/27/2012
Last Update Date : 03/27/2012

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