MEDICARE: MICHELE A GARAFANO

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
1	104100000X	Social Worker	082567-1	NY

General Provider Information

NPI Number	:	1235431743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE A GARAFANO

Provider Business Mailing Address
First Line	:	6 NEW LN APT 8B
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3166
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	358 SAINT MARKS PL
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-2417
Country	:	US
Telephone Number	:	718-727-3303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2010
Last Update Date	:	12/03/2010

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