Nancy Louise Cerullo LCSW-R

NPI 1326176611 - Social Worker - 1041C0700X

NPI Details
NPI 1326176611
Gender Female
Enumeration Date 03/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
407 E MAIN ST
SUITE 15
PORT JEFFERSON NY, 11777-1866, US
Phone (631) 680-9040
Fax
Business Location
37 OAKWOOD RD
PORT JEFFERSON NY, 11777-1422, US
Phone (631) 928-8078
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number R053149-1
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According to our database, Nancy Louise Cerullo LCSW-R NPI is 1326176611, taxonomy code is 1041C0700X and license number is R053149-1, license state is located at New York. Nancy Louise Cerullo LCSW-R physically located at 407 E Main St, Port Jefferson NY, 11777-1866. NPI Number Nancy Louise Cerullo LCSW-R has the Individual type.

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1326176611 NPI number is provided on an as is basis without warranty of any kind. 1326176611 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy Louise Cerullo LCSW-R are for informational purposes only.