BRUCE R MARDINEY


Address: 175 Route 32 North, New Paltz, NY 12561
Phone: 8452551400

BRUCE R MARDINEY (NPI# 1942579800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942579800
Entity Type Individual
Full Name BRUCE R MARDINEY
Credential LCSW
Practice Address 175 Route 32 North
New Paltz
NY 12561
Mailing Address 175 Mountain Rd
Rosendale
NY 12472-9652
Practice Telephone 8452551400
Mailing Telephone 8456583467
Enumeration Date 2011-12-22
Last Update Date 2011-12-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
069967-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 175 ROUTE 32 NORTH
City NEW PALTZ
State NY
Zip Code 12561

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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City NEW PALTZ
Zip Code 12561

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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