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NPI Code Detail

MEDICARE: CHELSEA DEMARIA

MEDICARE: CHELSEA DEMARIA
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
11041C0700XClinical Social Worker089312NY

General Provider Information

NPI Number : 1770113904
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA DEMARIA
Provider Business Mailing Address
First Line : 18 MILLER RD
Second Line :
City : MAHOPAC
State : NY
Zip : 10541-2220
Country : US
Telephone Number : 845-628-2300
Fax Number :
Provider Business Practice Location Address
First Line : 18 MILLER RD
Second Line :
City : MAHOPAC
State : NY
Zip : 10541-2220
Country : US
Telephone Number : 845-628-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2020
Last Update Date : 02/03/2020

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Directions to “ CHELSEA DEMARIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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