MEDICARE: JULIE MAGARIL 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	R052170-1	NY

General Provider Information

NPI Number	:	1659461960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MAGARIL LCSW

Provider Business Mailing Address
First Line	:	850 W 176TH ST
Second Line	:	APT 5B
City	:	NEW YORK
State	:	NY
Zip	:	10033-7419
Country	:	US
Telephone Number	:	212-923-2096
Fax Number	:

Provider Business Practice Location Address
First Line	:	1670 E 17TH ST # 78
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1258
Country	:	US
Telephone Number	:	718-375-1200
Fax Number	:

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

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	07/08/2007

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