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NPI Code Detail

MEDICARE: CHERYL RANIERI MHC-LP

MEDICARE:   CHERYL  RANIERI  MHC-LP
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
1101YM0800XMental Health CounselorP87365NY

General Provider Information

NPI Number : 1790121028
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL RANIERI MHC-LP
Provider Business Mailing Address
First Line : 2483 ARTHUR KILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-1207
Country : US
Telephone Number : 347-850-2585
Fax Number :
Provider Business Practice Location Address
First Line : 2483 ARTHUR KILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-1207
Country : US
Telephone Number : 347-850-2585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2013
Last Update Date : 05/14/2013

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