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NPI Code Detail

MEDICARE: PATRICIA A HARTLEY-FERRANDINO LCSW

MEDICARE: PATRICIA A HARTLEY-FERRANDINO 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 Worker075038-RNY

General Provider Information

NPI Number : 1235241555
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A HARTLEY-FERRANDINO LCSW
Provider Business Mailing Address
First Line : 320 CARLETON AVE
Second Line :
City : CENTRAL ISLIP
State : NY
Zip : 11722
Country : US
Telephone Number : 631-663-4307
Fax Number : 631-439-4066
Provider Business Practice Location Address
First Line : 790 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4516
Country : US
Telephone Number : 631-663-4300
Fax Number : 631-439-4066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 06/14/2016

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Directions to “ PATRICIA A HARTLEY-FERRANDINO LCSW” Practice Location

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