Mary Connolly Lmsw PC
Early Intervention Provider Agency in Staten Island, New York
1336402338- Practice location
- 92 Evergreen St, Staten Island, NY 10308-1812
- Phone
- 718-344-4981
- Fax
- —
- Last updated
- June 25, 2012
Mary Connolly Lmsw PC is a healthcare organization based in Staten Island, NY. Mary Connolly Lmsw PC practices in Staten Island, NY. The NPI Number for Mary Connolly Lmsw PC is 1336402338 and holds a License No. 075265 (NY). The current practice location address for Mary Connolly Lmsw PC is 92 Evergreen St, Staten Island, NY 10308-1812 and can be reached out via phone at 718-344-4981.
Provider Profile Details
- NPI Number
- 1336402338
- Provider Name
- Mary Connolly Lmsw PC
- Provider Entity Type
- Organization
- Address
- 92 Evergreen St, Staten Island, NY 10308-1812
- Phone Number
- 718-344-4981
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Mary Connolly, LMSW · Social Worker · 718-344-4981
- Provider Enumeration Date
- June 25, 2012
- Last Update Date
- June 25, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 92 Evergreen St
Staten Island, NY 10308-1812 - City
- Staten Island
- State
- New York
- Zip
- 10308-1812
- Phone Number
- 718-344-4981
Provider Business Mailing Address Details
- Address
- 92 Evergreen St
Staten Island, NY 10308-1812 - City
- Staten Island
- State
- NY
- Zip
- 10308-1812
- Phone Number
- 718-344-4981
License Information
- License Number
- 075265
- License State
- NY
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Connolly Lmsw PC?
The NPI number of Mary Connolly Lmsw PC is 1336402338. It was assigned on June 25, 2012 and is currently active in the NPPES registry.
What is the specialty of Mary Connolly Lmsw PC?
Mary Connolly Lmsw PC is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in NY under license number 075265.
Where does Mary Connolly Lmsw PC practice?
The practice location is 92 Evergreen St, Staten Island, NY 10308-1812. The office can be reached at 718-344-4981 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336402338 directly on the NPPES registry website.