MEDICARE: ERO LCSW, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1417098435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERO LCSW, PC

Provider Business Mailing Address
First Line	:	570 SCARBOROUGH RD
Second Line	:
City	:	BRIARCLIFF MANOR
State	:	NY
Zip	:	10510-2020
Country	:	US
Telephone Number	:	914-941-2587
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BRYANT CRES
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2637
Country	:	US
Telephone Number	:	914-941-2587
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELAINE ROBBINS
Credential	:	LCSW
Telephone Number	:	914-941-2587

Provider Enumeration Date	:	02/11/2007
Last Update Date	:	08/22/2020

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