Physician Compare National (NPI:1740276849)

HEALTHCARE PROVIDER: ANTHONY VINCENT LERRO LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740276849
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799978953
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101020000304
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LERRO
	Individual professional last name
Provider First Name	ANTHONY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1971 DE KALB AVE
	Group Practice or individual's line 1 address
City	MERRICK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	115662602
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5166523634
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y