MEDICARE: KATHLEEN LAMERE

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	390200000X	Student in an Organized Health Care Education/Training Program
2	101YM0800X	Mental Health Counselor
3	104100000X	Social Worker	129825	NY

General Provider Information

NPI Number	:	1740914332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN LAMERE

Provider Business Mailing Address
First Line	:	140 WALL ST APT 10
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-2061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1448 5TH AVE
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-4147
Country	:	US
Telephone Number	:	631-647-3100
Fax Number	:

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

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	03/18/2026

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Directions to “ KATHLEEN LAMERE ” Practice Location

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