Healthcare Provider Details

I. General information

NPI: 1801724877
Provider Name (Legal Business Name): MICHELE SPAMPINATO LASKER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELE LASKER LMSW

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 BELL BLVD STE 203
BAYSIDE NY
11361-2097
US

IV. Provider business mailing address

266 ELMWOOD AVE STE 960
BUFFALO NY
14222-2202
US

V. Phone/Fax

Practice location:
  • Phone: 777-777-7777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number097146
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: