1629431911 NPI number — MRS. MARIA SARIOL LMSW

Table of content: MRS. MARIA SARIOL LMSW (NPI 1629431911)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629431911 NPI number — MRS. MARIA SARIOL LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARIOL
Provider First Name:
MARIA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629431911
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 N WOODSIDE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LODI
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07644-3428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-888-1169
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 PARK AVE
Provider Second Line Business Practice Location Address:
PARK CARE PAVILION
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10703-3402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-964-7725
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2016

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: 261QM0850X , with the licence number:  72 090244 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 72 090244 . This is a "LMSW" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".