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NPI Code Detail

MEDICARE: MARY RINGLEN LCSW

MEDICARE: MARY RINGLEN 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
1104100000XSocial Worker072445NY

General Provider Information

NPI Number : 1417083973
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY RINGLEN LCSW
Provider Business Mailing Address
First Line : 8 BLAIR CT
Second Line :
City : CORAM
State : NY
Zip : 11727-2266
Country : US
Telephone Number : 631-928-7695
Fax Number :
Provider Business Practice Location Address
First Line : 3600 ROUTE 112
Second Line :
City : CORAM
State : NY
Zip : 11727-4116
Country : US
Telephone Number : 631-920-8500
Fax Number : 631-920-8500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 02/10/2009

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Directions to “ MARY RINGLEN LCSW” Practice Location

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