Healthcare Provider Details

I. General information

NPI: 1275956716
Provider Name (Legal Business Name): NOREEN LYNN VERNO I LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2014
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 TARRYTOWN RD
WHITE PLAINS NY
10607-1639
US

IV. Provider business mailing address

2 CARDINAL WAY
YORKTOWN HEIGHTS NY
10598-6603
US

V. Phone/Fax

Practice location:
  • Phone: 914-502-3998
  • Fax:
Mailing address:
  • Phone: 914-787-9710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number090816
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: