Diana Fogarty LCSW-R

NPI 1184853848 - Social Worker - 1041C0700X

NPI Details
NPI 1184853848
Gender Female
Enumeration Date 07/02/2009
Last Updated 01/28/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
11 ROUTE 109
WEST BABYLON NY, 11704-6207, US
Phone (631) 669-5355
Fax (631) 321-5158
Business Location
11 ROUTE 109
WEST BABYLON NY, 11704-6207, US
Phone (631) 669-5355
Fax (631) 321-5158
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 076237
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According to our database, Diana Fogarty LCSW-R NPI is 1184853848, taxonomy code is 1041C0700X and license number is 076237, license state is located at New York. Diana Fogarty LCSW-R physically located at 11 Route 109, West Babylon NY, 11704-6207. NPI Number Diana Fogarty LCSW-R has the Individual type.

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1184853848 NPI number is provided on an as is basis without warranty of any kind. 1184853848 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Fogarty LCSW-R are for informational purposes only.