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General NPI Number Information
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NPI Number | 1790091106
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Entity Type | Organization
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Legal Business Name | LAUREEN MERCURIO LCSW PC
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 5 MEADOW GATE E
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City | SAINT JAMES
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State | NY
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Zip | 11780-1349
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Country | US
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Telephone | 516-316-5374
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MEADOW GATE E
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City | SAINT JAMES
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State | NY
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Zip | 11780-1349
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Country | US
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Telephone | 516-316-5374
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAUREEN MERCURIO
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Credential | LCSW
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Telephone | 516-316-5374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | R026712
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License Number State | NY
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