Organization · Type 2 NPI

Patchogue-Medford School District

School Social Worker · Medford, NY

NPI number 1790047694 Active

Practice location

181 Buffalo Ave
Medford, NY 11763-3752

Mailing address

241 S Ocean Ave
Patchogue, NY 11772-3732

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
School Social Worker Primary 1041S0200XNone listed

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About NPI 1790047694

Patchogue-Medford School District's National Provider Identifier is 1790047694, issued on Jun 15, 2012. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Medford, NY. The record was last updated on Jun 15, 2012.