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NPI Code Detail

MEDICARE: MRS. LOYDA MILAGROS MASTRELLI LMSW

MEDICARE:  MRS. LOYDA MILAGROS MASTRELLI  LMSW
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
1104100000XSocial Worker058879-1NY

General Provider Information

NPI Number : 1346481827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LOYDA MILAGROS MASTRELLI LMSW
Provider Business Mailing Address
First Line : 568 15TH ST
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-2621
Country : US
Telephone Number : 631-956-1720
Fax Number :
Provider Business Practice Location Address
First Line : 568 15TH ST
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-2621
Country : US
Telephone Number : 631-956-1720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2009
Last Update Date : 03/13/2009

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Directions to “ MRS. LOYDA MILAGROS MASTRELLI LMSW” Practice Location

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