Mercurio, Laureen

Mercurio, Laureen is an sole proprietor health care provider with primary practice located at 626 Willis Ave , Williston Park NY 11596-1149. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mercurio, Laureen can be contacted via phone (516) 877-2751.

Contact Information

Primary practice address
626 Willis Ave Williston Park NY 11596-1149
Phone: (516) 877-2751
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R026712 New York

Profile Details

NPI number 1578624607
LBN Legal business name Mercurio, Laureen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578624607 NPPES
New York Other 113284015 TAX IDENTIFICATION NUMBER

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