MEDICARE: MS. MARGARET M BOYLE 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
1	1041C0700X	Clinical Social Worker	069708-1	NY

General Provider Information

NPI Number	:	1437289105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET M BOYLE LCSW

Provider Business Mailing Address
First Line	:	3001 HENRY HUDSON PKWY
Second Line	:	3M
City	:	BRONX
State	:	NY
Zip	:	10463-4717
Country	:	US
Telephone Number	:	347-275-4821
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 PELHAM PKWY S
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1019
Country	:	US
Telephone Number	:	917-842-7281
Fax Number	:

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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