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NPI Code Detail

MEDICARE: MARY HAGGERTY

MEDICARE: MARY HAGGERTY
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
1225X00000XOccupational Therapist030782NY

General Provider Information

NPI Number : 1548111834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY HAGGERTY
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Provider Business Practice Location Address
First Line : 3820 BOWNE ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-5638
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ MARY HAGGERTY ” Practice Location

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