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NPI Code Detail

MEDICARE: ROBERT LETTIERI LMSW

MEDICARE:   ROBERT  LETTIERI  LMSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1437084613
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT LETTIERI LMSW
Provider Business Mailing Address
First Line : 318 RIVER RD
Second Line :
City : SAINT JAMES
State : NY
Zip : 11780-1391
Country : US
Telephone Number : 631-456-1617
Fax Number :
Provider Business Practice Location Address
First Line : 68 S SERVICE RD STE 100
Second Line :
City : MELVILLE
State : NY
Zip : 11747-2350
Country : US
Telephone Number : 516-430-8362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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