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NPI Code Detail

MEDICARE: MAXINE MCCARTHY

MEDICARE: MAXINE MCCARTHY
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 Worker112365NY

General Provider Information

NPI Number : 1679283758
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAXINE MCCARTHY
Provider Business Mailing Address
First Line : 116 E 125TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10035-1612
Country : US
Telephone Number : 646-610-2099
Fax Number :
Provider Business Practice Location Address
First Line : 116 E 125TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10035-1612
Country : US
Telephone Number : 646-610-2099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2022
Last Update Date : 11/30/2022

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Directions to “ MAXINE MCCARTHY ” Practice Location

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