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NPI Code Detail

MEDICARE: MS. LAUREN RYAN LCSW

MEDICARE:  MS. LAUREN  RYAN  LCSW
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 Worker087127NY

General Provider Information

NPI Number : 1952025603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN RYAN LCSW
Provider Business Mailing Address
First Line : 555 KAPPOCK ST APT 14G
Second Line :
City : BRONX
State : NY
Zip : 10463-6421
Country : US
Telephone Number : 646-407-6861
Fax Number :
Provider Business Practice Location Address
First Line : 34 SPRING ST
Second Line :
City : NEW YORK
State : NY
Zip : 10012-4107
Country : US
Telephone Number : 212-925-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2022
Last Update Date : 09/27/2022

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Directions to “ MS. LAUREN RYAN LCSW” Practice Location

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