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NPI Code Detail

MEDICARE: MARCIA PITT

MEDICARE:   MARCIA  PITT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1821503632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA PITT
Provider Business Mailing Address
First Line : 10308 217TH PL
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11429-1530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10308 217TH PL
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11429-1530
Country : US
Telephone Number : 646-249-7644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2017
Last Update Date : 12/04/2017

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Directions to “ MARCIA PITT ” Practice Location

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