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NPI Code Detail

MEDICARE: CARLY TAYLOR RIEGLER LSW

MEDICARE: CARLY TAYLOR RIEGLER LSW
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
1104100000XSocial Worker44SL06912900NJ
2104100000XSocial Worker

General Provider Information

NPI Number : 1972200020
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY TAYLOR RIEGLER LSW
Provider Business Mailing Address
First Line : 36 BEACON LN
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-5104
Country : US
Telephone Number : 631-559-6666
Fax Number :
Provider Business Practice Location Address
First Line : 36 BEACON LN
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-5104
Country : US
Telephone Number : 631-559-6666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2023
Last Update Date : 05/27/2026

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Directions to “ CARLY TAYLOR RIEGLER LSW” Practice Location

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