Healthcare Provider Details

I. General information

NPI: 1699510701
Provider Name (Legal Business Name): EMILY LAMAGNA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 06/28/2024
Certification Date: 02/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 STEWART AVE STE 700
GARDEN CITY NY
11530-4785
US

IV. Provider business mailing address

199 GROTON PL
WEST HEMPSTEAD NY
11552-1609
US

V. Phone/Fax

Practice location:
  • Phone: 516-280-7285
  • Fax:
Mailing address:
  • Phone: 516-375-8839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number123579
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: