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NPI Code Detail

MEDICARE: MRS. RUTH ANNE COMMERCIO LCSW

MEDICARE: MRS. RUTH ANNE COMMERCIO 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 Worker073501-1NY

General Provider Information

NPI Number : 1275703365
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUTH ANNE COMMERCIO LCSW
Provider Business Mailing Address
First Line : 275 E MAIN ST
Second Line : REAR BUILDING
City : MOUNT KISCO
State : NY
Zip : 10549-3030
Country : US
Telephone Number : 914-588-2592
Fax Number : 914-241-3866
Provider Business Practice Location Address
First Line : 190 GOLDENS BRIDGE ROAD
Second Line : BEDFORD PROFESSIONAL PARK
City : KATONAH
State : NY
Zip : 10536-2810
Country : US
Telephone Number : 914-588-2592
Fax Number : 914-241-3866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2008
Last Update Date : 03/05/2008

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