MEDICARE: MS. MARY RUTH ARMOUR LCSW-R

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	052540-1	NY
2	106H00000X	Marriage & Family Therapist	052540-1	NY

General Provider Information

NPI Number	:	1780765347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY RUTH ARMOUR LCSW-R

Provider Business Mailing Address
First Line	:	22 CORBIN AVE
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-5134
Country	:	US
Telephone Number	:	212-726-2313
Fax Number	:

Provider Business Practice Location Address
First Line	:	853 BROADWAY
Second Line	:	SUITE 1007
City	:	NEW YORK
State	:	NY
Zip	:	10003-4703
Country	:	US
Telephone Number	:	212-726-2313
Fax Number	:

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	09/11/2025

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