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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578624607 | NPPES |
| New York | Other | 113284015 | TAX IDENTIFICATION NUMBER |
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