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NPI Code Detail

MEDICARE: ADAM LYONS LCSW

MEDICARE: ADAM LYONS LCSW
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 Worker084681NY

General Provider Information

NPI Number : 1700443751
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM LYONS LCSW
Provider Business Mailing Address
First Line : 465 TUCKAHOE RD # 1264
Second Line :
City : YONKERS
State : NY
Zip : 10710-5707
Country : US
Telephone Number : 646-535-1262
Fax Number :
Provider Business Practice Location Address
First Line : 851 W 181ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-4436
Country : US
Telephone Number : 646-535-1262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2019
Last Update Date : 09/23/2025

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