MEDICARE: MRS. NATALIE LATTARULO LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	059422-1	NY

General Provider Information

NPI Number	:	1750526638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE LATTARULO LMSW

Provider Business Mailing Address
First Line	:	206 CALIFORNIA RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4906
Country	:	US
Telephone Number	:	646-879-9879
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 CALIFORNIA RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4906
Country	:	US
Telephone Number	:	646-879-9879
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	09/25/2012

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