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NPI Code Detail

MEDICARE: MRS. ANGELA D MAHLER-ROMEO LMSW CSW

MEDICARE: MRS. ANGELA D MAHLER-ROMEO LMSW CSW
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 Worker0614681NY

General Provider Information

NPI Number : 1356330120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA D MAHLER-ROMEO LMSW CSW
Provider Business Mailing Address
First Line : 20 N OCEANSIDE RD
Second Line : ANGELA D MAHLER ROMEO
City : ROCKVILLE CENTRE
State : NY
Zip : 11570-5122
Country : US
Telephone Number : 516-678-6641
Fax Number :
Provider Business Practice Location Address
First Line : 2277 GRAND AVE
Second Line : SOUTH NASSAU COMMUNITIES HOSPITAL MENTAL HEALTH COUNSEL
City : BALDWIN
State : NY
Zip : 11510-3148
Country : US
Telephone Number : 516-546-1370
Fax Number : 516-546-1028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 07/08/2007

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