MEDICARE: ALLISON LEBRON

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	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1700689254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON LEBRON

Provider Business Mailing Address
First Line	:	1428 COOLIDGE ST
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-2708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1428 COOLIDGE ST
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-2708
Country	:	US
Telephone Number	:	516-661-6162
Fax Number	:

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

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	03/31/2025

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Directions to “ ALLISON LEBRON ” Practice Location

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