| Dr. Lawrence Zuckerman, Lcsw, P.c. | |
|
70 Lawrence Ave Smithtown NY 11787-3607 | |
| (631) 724-0212 | |
| (631) 689-2084 |
| Full Name | Dr. Lawrence Zuckerman, Lcsw, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 70 Lawrence Ave, Smithtown, New York |
| Authorized Official Name and Position | Lawrence Zuckerman (PRESIDENT) |
| Authorized Official Contact | 6317240212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lawrence Zuckerman, Lcsw, P.c. 70 Lawrence Ave Smithtown NY 11787-3607 Ph: (631) 724-0212 | Dr. Lawrence Zuckerman, Lcsw, P.c. 70 Lawrence Ave Smithtown NY 11787-3607 Ph: (631) 724-0212 |
| NPI Number | 1982976098 |
|---|---|
| Provider Enumeration Date | 02/04/2012 |
| Last Update Date | 02/04/2012 |
| Medicare PECOS PAC ID | 7315107281 |
|---|---|
| Medicare Enrollment ID | O20120330000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982976098 | NPI | - | NPPES |
| 02449154 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | RP017507 (New York) | Primary |
| Provider Name | Lawrence Zuckerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821016825 PECOS PAC ID: 6103019302 Enrollment ID: I20101020000825 |
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