Kim Rugolsky LMSW

NPI 1740509660 - Social Worker - 104100000X

NPI Details
NPI 1740509660
Gender Female
Enumeration Date 05/18/2010
Last Updated 05/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
39 ROCHESTER AVE
EAST ATLANTIC BEACH NY, 11561-1030, US
Phone (516) 644-1322
Fax
Business Location
39 ROCHESTER AVE
EAST ATLANTIC BEACH NY, 11561-1030, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 067643-1
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According to our database, Kim Rugolsky LMSW NPI is 1740509660, taxonomy code is 104100000X and license number is 067643-1, license state is located at New York. Kim Rugolsky LMSW physically located at 39 Rochester Ave, East Atlantic Beach NY, 11561-1030. NPI Number Kim Rugolsky LMSW has the Individual type.

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1740509660 NPI number is provided on an as is basis without warranty of any kind. 1740509660 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Rugolsky LMSW are for informational purposes only.