Organization
MARIA MUSCENTE, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ANN MUSCENTE LCSWR (PRESIDENT)
(607) 351-1562
Entity
Organization
Contact information
Practice address
20 SAUNDERS RD, ITHACA, NY 14850-9698
(607) 351-1562
Mailing address
20 SAUNDERS RD, ITHACA, NY 14850-9698
(607) 351-1562
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
053368R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457451163
NPI
NY
Enumeration date
03/06/2015
Last updated
03/06/2015
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