MEDICARE: LUCIA TERESA GARCIA-GIURGIU

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	390200000X	Student in an Organized Health Care Education/Training Program		NY
2	1041C0700X	Clinical Social Worker	098465	NY

General Provider Information

NPI Number	:	1366873341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCIA TERESA GARCIA-GIURGIU

Provider Business Mailing Address
First Line	:	750 COLUMBUS AVE # PHA
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-6464
Country	:	US
Telephone Number	:	917-887-9131
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 W 96TH ST
Second Line	:	APT 3A
City	:	NEW YORK
State	:	NY
Zip	:	10025-6321
Country	:	US
Telephone Number	:	646-417-4017
Fax Number	:

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

Provider Enumeration Date	:	12/02/2013
Last Update Date	:	01/19/2021

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