MEDICARE: MS. MARIE STRNAD ED.M., MHC-LP

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	101YM0800X	Mental Health Counselor	P93620	NY

General Provider Information

NPI Number	:	1528509304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE STRNAD ED.M., MHC-LP

Provider Business Mailing Address
First Line	:	590 AVE OF THE AMERICAS
Second Line	:	ATTN: CREDENTIALING
City	:	NEW YORK
State	:	NY
Zip	:	10011-2022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 MORNINGSIDE DR
Second Line	:	PS36: MARGARET DOUGLAS SCHOOL
City	:	NEW YORK
State	:	NY
Zip	:	10027-6017
Country	:	US
Telephone Number	:	917-715-0628
Fax Number	:

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

Provider Enumeration Date	:	03/14/2017
Last Update Date	:	03/14/2017

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