MEDICARE: ELIZABETH VERNA LCAT

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	102L00000X	Psychoanalyst	000978	NY

General Provider Information

NPI Number	:	1679807143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH VERNA LCAT

Provider Business Mailing Address
First Line	:	8 GRAMERCY PL
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 GRAMERCY PL
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3922
Country	:	US
Telephone Number	:	631-629-2221
Fax Number	:

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

Provider Enumeration Date	:	09/30/2009
Last Update Date	:	04/13/2026

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