1295911980 NPI number — MRS. KATHARINE TAYLOR WING-CURCIO LCSW

Table of content: MRS. KATHARINE TAYLOR WING-CURCIO LCSW (NPI 1295911980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295911980 NPI number — MRS. KATHARINE TAYLOR WING-CURCIO LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WING-CURCIO
Provider First Name:
KATHARINE TAYLOR
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WING-CURCIO
Provider Other First Name:
TAYLOR
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1295911980
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/22/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 947
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILLBROOK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12545-0947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-797-0561
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
667 STONELEIGH AVE
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
CARMEL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10512-2454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-279-6381
Provider Business Practice Location Address Fax Number:
845-279-5447
Provider Enumeration Date:
01/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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