MEDICARE: JILLIAN LAURIA

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	101YM0800X	Mental Health Counselor	009921	NY

General Provider Information

NPI Number	:	1669984472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN LAURIA

Provider Business Mailing Address
First Line	:	2696 CECILE DR
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-3108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2696 CECILE DR
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-3108
Country	:	US
Telephone Number	:	914-774-3957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2017
Last Update Date	:	12/30/2025

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Directions to “ JILLIAN LAURIA ” Practice Location

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