Individual
MRS. BETH VARDARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R0529011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345864
MHN
NY
01
—
7409005
VALUE OPTIONS
NY
01
—
7525540
AETNA
NY
01
—
N3G292
EMPIRE
NY
01
—
P668412
OXFORD
NY
Enumeration date
11/20/2006
Last updated
07/08/2007
Update your record
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