Provider Demographics
NPI:1598710022
Name:RYGLEWICZ, HILARY (LCSW)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:RYGLEWICZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:
Other - Last Name:TYRKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:445 EAST 86TH STREET
Mailing Address - Street 2:APT. 10D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6439
Mailing Address - Country:US
Mailing Address - Phone:212-410-6522
Mailing Address - Fax:212-410-6675
Practice Address - Street 1:445 EAST 86TH STREET
Practice Address - Street 2:APT. 10D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6439
Practice Address - Country:US
Practice Address - Phone:212-410-6522
Practice Address - Fax:212-410-6675
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO198811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN93252Medicare ID - Type UnspecifiedDEACTIVATED MEDICARE NUMB