MEDICARE: MARIA BYE

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	104100000X	Social Worker	3861	CT

General Provider Information

NPI Number	:	1699293431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA BYE

Provider Business Mailing Address
First Line	:	828 SULLIVAN AVE
Second Line	:
City	:	SOUTH WINDSOR
State	:	CT
Zip	:	06074-2093
Country	:	US
Telephone Number	:	860-569-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 SULLIVAN AVE
Second Line	:
City	:	SOUTH WINDSOR
State	:	CT
Zip	:	06074-2093
Country	:	US
Telephone Number	:	860-569-5900
Fax Number	:

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

Provider Enumeration Date	:	08/31/2017
Last Update Date	:	04/08/2026

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Directions to “ MARIA BYE ” Practice Location

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